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Rec ’d in Street a <br />Mpis. <br />Sub^a <br />Map No. <br />MINNEGASCO' <br />SERVICE INSTALLATION <br />567 <br />Customer's Name <br />pIdQ NewQ Bldg. <br />MUNICIPAL <br />PERMIT NO. ______ <br />ORDER NO. _12545 <br />E-NO. _ <br />Class <br />330 <br />!>ytt*naig HoiBea Tel. <br />Installation Address ____“^020 C.mmtrn Ppint RnmA <br />Legal Description; Lot No. Trai<-i- y Block No. <br />Contr’s Name <br />HLS 661 Addition_ <br />Contr's Addiess <br />Owner ’s Nome <br />Tel. <br />Owner's Address _____________________ <br />Date Ordered _Max. Demand <br />Tel. <br />Main Auth. No. <br />Add'l Info. <br />CF Hr. Taken By <br />_________ Service Location! "Right I I Left F] Front f~1 <br />pg Smrv, 2 « Main to 1S» <1968) SS <br />4gJ.r- §* t# 15* <br />Date Completed Foreman ’s Name <br />To the (City Engineer <br />(City Council^^^ <br />(Village Council <br />(Town Board <br />• € <br />The Minneapolis Gas Company hereby requests permission to perform <br />the work indicated above. <br />MINNEAPOLIS GAS COMPANY <br />352 (Chief Design Engineer) <br />To the Minneapolis Gas Company ik <br />% <br />Permission is hereby granted the Minneapolis Gas Company to perform <br />the work inuicated above. <br />of <br />Date By <br />(Authorized Signature) <br />FORM 52-3R 6' 69 <br />L^.