Laserfiche WebLink
MINNESOTA GAS CO MAINTENANCE <br />□ MAIN K] SERVICE PAV. CUT NO. <br />DATE 9-'5-«l MUNic. Ocorio <br />ORDER NO <br />LEAK RPT NO <br />RESP ACCT NO. <br />FPC or • E NO. <br />293? <br />392 <br />LOCATION:2987 Cisco Point R3 <br />NATURE OF WORK Repair ^ervlci^ <br />FOREIGN STRUCTURES PRESS. CL.NEW <br />T«l«a 1 a A TAP <br />Elec <br />□ 2 a c <br />n fi r~i c <br />SIZE <br />LJ o LJ fc • <br />Light/Tref. Cable a 6 □ F <br />Other <br />a 8 □ K r <br />1 <br />SURFACE DISTURBED <br />O Road Mix Bituminout O Dirt <br />CD Hot Mix Bituminous CD Gravel <br />CD Portland Cement Concrete CD Oiled Earth <br />CD Roadway CD Blvd. flD Walk CD Alley <br />Si/e Disturbed <br />PIPE LENGTH O Sam.Ft Longer Ft. Shorter Ft. Abandoned ' <br />SERVICE TAP MEASUREMENT • <br />ri. <br />DATE STARTED COMPLETED 5-7-31 FOREMAN Gsaflirakl <br />TRUCK NO., TOWN NO.FOREMANS P.R. NO. . <br />To the ICIty Enginetr <br />(Citv Council <br />(VilUge Council <br />(To'vn Board <br />S <br />Tha indtrfignad hereby requests pefmjiilon to perform the work <br />indicated above. ^ <br />MINNESOTA GASCOMPANV <br />(Authorired Sf^^ature) <br />To the Minnesota Gas Company <br />Permission is hereby granted th^ Minnesota Gas Company to perform <br />the ¥vork indicated above. <br />Dale.7 /'T^ 9 / <br />FORM 45A R3/78 <br />j