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Recd in Street MUNICIPAL <br />MINNEGASCO PERMIT NO. <br />Mpls.❑ SERVICE INSTALLATION ORDER NO. <br />Sub.E-N0. _ i—j <br />:,tf.lMJ <br />Map No ..� OWE]New❑ Bldg. Class <br />Customer's Name ANiAL+ Tel. <br />Installation Address ut" <br />Legal Description: Lot No. Block No. <br />A _ , Addition <br />Contr's <br />Name_ <br />Contr's <br />Address <br />Owner's <br />Name_ <br />Owner's <br />Address <br />Tel. <br />Tel. <br />Date Ordered ', i _)..12 Max. Demand CF Fir. Taken By <br />Main Auth. No. Service Location: Right ❑ Left ❑ Front ❑ <br />Add'I Info. S/gt, PE ?aft, IOIFVL Ina (I q62) LS __- <br />1.1/ S 1eNi <br />Date Completed <br />Foreman's Name <br />To the (City Engineer' <br />(City Council <br />(Village Council <br />(Town Board <br />The Minneapolis Gas Company hereby requests permission to perform <br />the work indicated above. <br />MINNEAPOLIS GAS COMPANY <br />1 � <br />(Chief Design Engineer) <br />To the Minneapolis Gas Company <br />Permission is hereby granted the Minneapolis Gas Company to perform <br />the work indicated above. <br />of <br />Date _ By --- --- <br />(Authorized Signature) <br />FORM 52-3R 6 69 <br />