HomeMy WebLinkAbout1983-06-30 Notice of Gas Service RepairMINNESOTA GAS CO. MAINTENANCE ORDER NO.
❑ MAIN Q SERVICE PAV. CUT NO_ LEAK RPT. NO. i
DATE MUNIC. RESP. ACCT. NO. f
FPC -a-ENO.
LOCATION
NATURE OF WORK'
FOREIGN STRUCTURES
PRESS. CL.
NEW
SURFACE DISTU141ED
Tei@
❑ 1
0
A
TAP
�t
[]
Road Min •ituminous C3 OMt
Elec
02
05
[]
U
C
E
SIZE
❑
C-1
Hot Min Bituminous C] Gravel
Portland Cement Corncreta ❑ 01401111 6W1h
`
LiphVTrst Cable
Il b
L7 a
O
❑
F
K
C-�
Road wav 0 Blvd. ❑ Walk ❑ AN"
Other
Site Disturbed
PIPE LENGTH ❑ Same
Ft.
Long
Ft Shorter rt. Abandoned
SERVICE TAP MEASUREMENT
DATE STARTED COMPLETED ��—�s FOREMAN
TRUCK NO.
To the (City E rgirwr
(City Council
iVillage council
(Towyn Board
FOREMANS P.R. NO.
TM undwgWwad hereby requests perm$Won to perform the work
indicated above.
MINNESOTA GA COMPANY
OMP
ey 4
(Authorized Signature)
To the Minnesota Gar CompanY
Pww"t mm is hereby granted the Mtnnewta Gar Compenv to perform
the work Mdica : above.
of
Do" By
(Authorized Signature)
FORM 415A R3/7111