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Map No. <br />MINNEGASCO SERVICE INSTALLATION <br />^67 Natural Gas □ Propane Vapor (□ Permit No. <br />---------___________________ Minneapolis O Order No. _ <br />_ — Date Ordered 1 Q*28»8 1 E No. _ <br />CuttOm«t*S flame l^hn Mngan ______________ TwI . <br />Installation Address 3^^ Pr , ___________________' 2Hp <br />Lot Block __ Addition U»nchf>p QhK nf «;prlnQ Park Intg <br />Municipality <br />Folio No__ <br />COlO <br />7^^ 6 <br />Method of Installation or Construction (including method of compaction <br />and excavation) will be in accorda^se 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 />t <br />Install :Service Main Location <br />Additional Info. <br />Pressure Class <br />Date Completed Foreman's Name <br />To the (City Engineer <br />(City Council <br />(Village Council <br />(Town Board <br />The Minnesota Gas Company hereby requests permission to perform the work <br />indicated above. <br />MINNESOTA GAS COMPANY <br />____________________________________y' ^ (Chief Engineer) <br />To th? Minnesota Gas Company <br />Permission is hereby granted the Minnesota Gas Company to perform the work <br />indicated above. <br />Date <br />lA oigy^.Qif^O <br />By-----\ <br />(Authorized 6ign(pur? <br />Fortn 52 R 5/78