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Rac'd in Street <br />Mpls.|~~| <br />Sub. to«o <br />Map No. <br />MINNEGASCO <br />SERVICE INSTALLATION <br />Customer's Nome <br />pIdU NewQ Bldg. <br />MUNICIPAL <br />PERMIT NO. <br />ORDER NO. <br />E-NO. <br />Class <br />‘"■SI <br />i r Tel. <br />Installation Address <br />Legal Description: Lot No.Block No. <br />Addition „ 1 <br />Contr's Name Tel. <br />Contr's Address <br />Owner's Nome <br />Owner's Address <br />Tel. <br />Dote Ordered Max. Demand <br />Main Auth. No. <br />Add'I lnfo._ <br />2P' J <br />CF/Hr. Taken By <br />________ Service Locatior.: Right | | Left | | Front | | <br />•t -I i <br />> *■ <br />f I <br />Date Completed Foreman's Nome <br />To the (City Engineer <br />(City Council <br />(Village Council <br />(Town Board <br />CALL <br />The Minnesota Gas Company hereby requests permission to perform <br />the work indicated above. <br />MINNESOTA GAS COMPANY <br />(Chi«f Design <br />Sf-IR $' 99 <br />To the Minnesota Gas Company <br />Permission is hereby granted the Minnesota Gas Company to perform <br />the work indicated abovo. <br />Dote 1 ! Z' ^ ^ <br />of A*' .' <br />By „ ‘r fAutHsrii«d Si^nofur#)