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MINNESOTA GAS CO. MAINTENANCE ORDER NO. <br />❑ MAIN Q SERVICE PAV. CUT NO_ LEAK RPT. NO. i <br />DATE MUNIC. RESP. ACCT. NO. f <br />FPC -a-ENO. <br />LOCATION <br />NATURE OF WORK' <br />FOREIGN STRUCTURES <br />PRESS. CL. <br />NEW <br />SURFACE DISTU141ED <br />Tei@ <br />❑ 1 <br />0 <br />A <br />TAP <br />�t <br />[] <br />Road Min •ituminous C3 OMt <br />Elec <br />02 <br />05 <br />[] <br />U <br />C <br />E <br />SIZE <br />❑ <br />C-1 <br />Hot Min Bituminous C] Gravel <br />Portland Cement Corncreta ❑ 01401111 6W1h <br />` <br />LiphVTrst Cable <br />Il b <br />L7 a <br />O <br />❑ <br />F <br />K <br />C-� <br />Road wav 0 Blvd. ❑ Walk ❑ AN" <br />Other <br />Site Disturbed <br />PIPE LENGTH ❑ Same <br />Ft. <br />Long <br />Ft Shorter rt. Abandoned <br />SERVICE TAP MEASUREMENT <br />DATE STARTED COMPLETED ��—�s FOREMAN <br />TRUCK NO. <br />To the (City E rgirwr <br />(City Council <br />iVillage council <br />(Towyn Board <br />FOREMANS P.R. NO. <br />TM undwgWwad hereby requests perm$Won to perform the work <br />indicated above. <br />MINNESOTA GA COMPANY <br />OMP <br />ey 4 <br />(Authorized Signature) <br />To the Minnesota Gar CompanY <br />Pww"t mm is hereby granted the Mtnnewta Gar Compenv to perform <br />the work Mdica : above. <br />of <br />Do" By <br />(Authorized Signature) <br />FORM 415A R3/7111 <br />