HomeMy WebLinkAbout1978-06-02 Notice of Gas Service InstallationMap No __
Municipality
Folio No.__
MINNEGASCO SERVICE INSTALLATION
Natural Gas □ Propane Vapor □ Permit No.
npr.M(!__ Minneapolis CD
Date Ordered A. - /.H
^ ? ri 1 rr rCustomer's Name _ _____________
Installation Address ?A77 ^
Lot 1 35i— Block ----------Addition_______
Order No. 11
___E No. ^0
.Tel. ____________
Zip.
Sp ring
Method of Installation or Construction (including method of compaction
and excavation) wiM be in accordance with procedures as described in
Minnegasco Operations Manual. Section 500, "Excavating, Backfilling and
Surfacing", the most recent edition on file with the permitting authority.
Install:
Additional Info.
Service Main Location
Pressure Class
Date Completed Foreman's Name
To the (City Engineer
(City Council
(Village Council
(Town Bon’d
The Minnesota Gas Company hereby requests permission to perform the work
indicated above.
MINNESOTA GAS COMPANY
_________________________________________(Chief Engineer)
To the Minnesota Gas Company
Permission is hereby granted the Minnesota Gas Company to perform the work
indicated above. .. ,
Date 6 /-7 s rf 7
(Authorized Signatured
Form 52 R 5/7t