Laserfiche WebLink
Recd in Street MUNICIPAL <br />MINNEGASCO PERMIT NO. <br />Mpls.n SERVICE INSTALLATION ORDER NO. <br />Sub. E -NO. <br />Map No. Old❑ New[] Bldg. Class <br />Customer's Name Tel. <br />Installation Address <br />Legal Description: Lot No. Block No. <br />Addition <br />Contr's Name <br />Contr's Address <br />Owner's Name__ _ <br />Owner's Address <br />Tel. <br />Tel. <br />Date Ordered Max. Demand CF/Hr. Token By <br />Main Auth. No. Service Location: ,-ght [] Left [] Front ❑ <br />Add'I Info. 508"p3--6;ev;v W, Piz m 0' Q% W69 6 .n <br />? FST 31M . .. <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 <br />the work indicated above. <br />MINNESOTA GAS COMPANY <br />(Chief L. sign Engin►) <br />61 <br />To the Minnesota Gas Company <br />Permission is hereby granted the Minnesota Gas Company to perform <br />the work indicated above. <br />of <br />Date By <br />(Authorise/ Signature) <br />FORM %2-3R 6/ 69 <br />