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Map No. <br />MINNEGASCO SERVICE INSTALLATION <br />__Natural Gas □ Propane Vapor Q Permit No. <br />Fnlin Nn . Datp DrHpfpH P No '(0 <br />Custofiier's Name Robert G- Lourie TpI • <br />Installation Address <br />Lot L____Block <br />C o Point Road 7ip <br />Addition RLS Wi__________________ <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 Info. <br />Pressure Class <br />To the Minnesota Gas Company <br />Permission is hereby granted the Minnesota Gas Company tr perform the work <br />indicated above. <br />City 0rt'n<: <br />/ <br />(Authorised Signature) <br />♦ <br />Form 52 R 6/78