HomeMy WebLinkAbout1975-03-11 Notice of Gas Service InstallatiionRecd in Street MUNICIPAL
MINNEGASCO PERMIT NO.
Mpls.n SERVICE INSTALLATION ORDER NO.
Sub. E -NO.
Map No. Old❑ New[] Bldg. Class
Customer's Name Tel.
Installation Address
Legal Description: Lot No. Block No.
Addition
Contr's Name
Contr's Address
Owner's Name__ _
Owner's Address
Tel.
Tel.
Date Ordered Max. Demand CF/Hr. Token By
Main Auth. No. Service Location: ,-ght [] Left [] Front ❑
Add'I Info. 508"p3--6;ev;v W, Piz m 0' Q% W69 6 .n
? FST 31M . ..
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
(Chief L. sign Engin►)
61
To the Minnesota Gas Company
Permission is hereby granted the Minnesota Gas Company to perform
the work indicated above.
of
Date By
(Authorise/ Signature)
FORM %2-3R 6/ 69