HomeMy WebLinkAbout1983-05-18 Notice of Gas Service InstallationII.
Map No.
MINNEGASCO SERVICE INSTALLATION
— Natural Gas O Propane Vapor □ Permit No..
-------------------------— Minneapolis O Order No
----------------------Date nrri«^rpri ~ 1 R - n '! £ No
. '■•■ ■■ Ml nl ----------------------------------Tel.
Installation Address Pir.______________________
Lot _
Municipality {a
Folio No.
1 1; n fi A
Customer's Name I),-----------------
.Block.Addition.
Method of installation or Construction (including method ol compaction
and excavation) will be in accordance with procedures as described in
Minnegasco Operations Manual. Section 500, 'Excavating, Backfilling and
Surfacing , the most recent edition on file with the permitting authority.
iffInstall:..Service
Additional Info.Location
I Date Completed.. Foreman's Name
-Pressure Class.
To t.’ie (City Engineer
(City Council
(Village Council
(Town Board
The Minnesota Gas Company hereby requests permission to perform the work
indicated above.
I MINNESOTA GAS COMPANY
^ (Chief Enginetr)
To the Minnesota Gas Company
Permission is hereby granted the Minnesota Gas Company to perform the work
indicated above.
Date A.
I ^/to
^ V '
By 'O ' ^ f
(Authorized Signature)
Form 52 R 6/78
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