HomeMy WebLinkAbout1972-05-19 Notice of Gas Service InstallationRecd in Street MUNICIPAL
MINNEGASCO PERMIT NO.
MPIs.[J SERVICE INSTALLATION ORDER NO.
Sub. E -NO.
_Map No. - Old(—? N v[! Bldg. Class
Customer's Name A IV � _ Tel.
Installation Address . W4
Legal Description: Lot No. Block No.
i s M-- A d d i t i o n
Contr's Name _ _ Tel.
Contr's Address
nwner's Name - - — ---- — I.
Owner's Address
Date Ordered Max. Demand CF Hr. Tarcen By _
Main Auth. No._ Service Location: Right Left F Front
Add'I Info. ,► Pr nry ;�1 hatn t;LOS IEW1 n:' i s
Date Completed Foreman's Name
To the (City Engineer
(City Council
(Village Council
(Town Board
The Minneapolis Gas Company hereby requests permission to perform
the work indicated above.
MINNEAPOLIS GAS COMPANY
r
/ (Chief n^sign Engineer)
f
To the Minneapolis Gas Company
Permission is hereby granted the Minneapolis Gas Company to perfor
the work indicated above.
of
Date -- --- By --
(Authorized Signature)
FORM 52-3R 6/69