HomeMy WebLinkAbout1976-11-19 Notice of Gas Service RepairI iwipii I"
MINNESOTA GAS CO. MAINTENANCE
a MAIN □ SERVICE P.C. NO.________
DATE_______~ ___________MUNIC.r'-
ORDER NO.
NARUC OR E NO.
RESP. ACCT. NO.
LOCATION
NATURE OF WORK
SURFACE DISTURBED
□ ASPHALT O OIL
O CONCRCTE □ OIRT
O BLVD □ WALK □ ALLEY
Size OISTURMO
PIPE LENGTH
□ SAME
_ PT LONGER
_ PT SHORTER
i FT A0ANOOKCO
SERVICE TAP MEASUREMENT
DATE STARTED DATE COMPLETED FOREMAN r . j
To ths Minnsaots Gal Coirtpany
ParmiMion it haratoy grvttad tha Minna»ta G« CofT^wtv to trniimn
tha work indicatad abova.
______ of
Data By _
lAuthortzHj Signtbira)
FcKm 4tA R1 t/71