HomeMy WebLinkAbout1981-09-14 Notice of Gas Service RepairMINNESOTA GAS CO MAINTENANCE
□ MAIN K] SERVICE PAV. CUT NO.
DATE 9-'5-«l MUNic. Ocorio
ORDER NO
LEAK RPT NO
RESP ACCT NO.
FPC or • E NO.
293?
392
LOCATION:2987 Cisco Point R3
NATURE OF WORK Repair ^ervlci^
FOREIGN STRUCTURES PRESS. CL.NEW
T«l«a 1 a A TAP
Elec
□ 2 a c
n fi r~i c
SIZE
LJ o LJ fc •
Light/Tref. Cable a 6 □ F
Other
a 8 □ K r
1
SURFACE DISTURBED
O Road Mix Bituminout O Dirt
CD Hot Mix Bituminous CD Gravel
CD Portland Cement Concrete CD Oiled Earth
CD Roadway CD Blvd. flD Walk CD Alley
Si/e Disturbed
PIPE LENGTH O Sam.Ft Longer Ft. Shorter Ft. Abandoned '
SERVICE TAP MEASUREMENT •
ri.
DATE STARTED COMPLETED 5-7-31 FOREMAN Gsaflirakl
TRUCK NO., TOWN NO.FOREMANS P.R. NO. .
To the ICIty Enginetr
(Citv Council
(VilUge Council
(To'vn Board
S
Tha indtrfignad hereby requests pefmjiilon to perform the work
indicated above. ^
MINNESOTA GASCOMPANV
(Authorired Sf^^ature)
To the Minnesota Gas Company
Permission is hereby granted th^ Minnesota Gas Company to perform
the ¥vork indicated above.
Dale.7 /'T^ 9 /
FORM 45A R3/78
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