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MINNEGASCO SERVICE INSTALLATION <br />Map No. =,R-1 Natural Gas ❑ Propane Vapor ❑ Permit No. <br />Municipality ►u Minneapolis O Order No. 14 r H <br />Folio No. Date Ordered _fs_ _ E No. 1 <br />rtok"t <br />20"W's Nance � i rua ►�_� -r, Tel. <br />tallation Ad*m 1�t� 1 r • 1 <__ _ r , i Zip <br />.____ Block---. A"tiian <br />Method of Installation or Construction (including method of compaction <br />and excavation) will be in accordance with procedures as described in <br />Minnegasco Operations Manual, Section 500, "Excavating, Backfilling and <br />Surfacing", the most recent edition on file with the permitting authority. <br />Install: Service Main Location <br />Additional Into. <br />Pressure Class <br />Foreman's Name <br />To the (City Engineer <br />(City Council <br />(Village Council <br />(Town Board <br />The Minnesota Gas Company hereby requests permission to perform the work <br />indicated above. <br />MINNEGAECO, INC. <br />; /., �2LWZ;,4 <br />(St DeMgn En Meer <br />To the Minnesota Gas Company <br />Permission is hereby granted the Minnesota Gas Company to perform the work <br />indicated above. <br />of <br />L <br />Date By` <br />(Aulhwized Si/n"o) <br />Form 62 A 5/78 <br />_ __ r.►iAl.... ..-. ..r•.....�L� Lw 'r- ..... ,... . _ .. ..._ _ . � . ... ... - ... .. - ._. �. ... .mss r.. �. .... _ _. ... ...... <br />