HomeMy WebLinkAbout1973-11-26 Notice of Gas Service InstallationRecd in Street
MINN EGASCO
MplsSERVICE INSTALLATION
Sub.
Map No.
Customer's Name
Installation Address
Old❑ New❑ Bldg.
130'r ±- Nf�'ac
Legal Description: Lot No. Block No.
MUNICIPAL
PERMIT NO.
ORDERN0. —" -1 -"
E -N 0.
Class
Tel.
Addition
Contr's Name Tel.
Contr's Address
Owner's Name____ Tel.
Owner's Address
Date Ordered Max. Demand CF Hr. Taken By
Main Auth. No. Service Location: Right ❑ Left ❑ Front
Add'I Info. 3J8" P9 Serv. _ !t' ShLtng-(14n7)
t
f%1 r- aria
Date Completed Foreman's Name
To the (City Engineer ., r
(City Council
(Village Council
(Town Board
The Minneapolis Gas Company hereby requests permission to perform
the work indicated above.
MINNEAPOLIS GAS C:-IMPANY
f.' f
(Chief Design Engineer)
To the Minneapolis Gas Company
Permission is hereby granted the Minneapolis Gas Company to perform
the work indicated above.
of
Date_ By ----.— —
(Authorized Signature)
FORM 52-3R I 69