HomeMy WebLinkAbout1979-06-04 Notice of Gas Service Installationr
Map No.
Municipality
Folio No. ___
MINNEGASCO SERVICE INSTALLATION
_ Natural Gas Q Propane Vapor □ Permit No.
...... ......Minneapolis O Order No.
I ■ ■ ■ .1 . Date Ordered E No. '<i‘
Customer's Name
Installation Addren
Lot, Block -
\L'jf\ rh^r rKj £1
Tel.
Zip.
Addition CuL ■t. ^ V/Mmtt.
Method of Installation or Construction (including method of compaction
and excavation) will be in accordarKe with procedures as described in
Minnegasco Operations Manual, Section 500, "Excavating, Backfilling and
Surfacing", the most recent edition on file with the permitting authority.
Install :Service Main Location
Additional Info.
Pressure Class
Date Completed Foreman's Name
To the (City Engineer
(City Council
(Village Council
(Town Board
The Minnesota Gas Company hereby requests permission to perform the work
indicated above.
MINNESOTA GAS COMPANY
_________________________________________/ (Chitf EnpiftMr)
r /
To the Minnesota Gas Company
Permission is hereby granted the Minnesota Gas Company to perform the work
indicated above.
Date
(Authorized Signaturel
Form 92 S/78