HomeMy WebLinkAbout1980-12-022 Notice of Gas Service RepairMINNESOTA GAS CO. MAINTENANCE ORDER NO. a4A A
❑ MAIN gSERVICE PAV. CUT NO. LEAK RPT. NO.
DATE 1222-80 MUNIC. Orong RESP. ACCT. NO.
FPC - or - E NO. 892
LOCATION. 1951 C4o2,2rd is Street
NATURE OF WORK _ Rapa i r Rerv{ ra _
FOREIGN STRUCTURES
Tele
E lec
4 Light/Traf. Cable
� Other
PRESS. CL.
NEW
❑ 1
❑
A
TAP
❑ 2
❑
C
SIZE
❑ 5
❑
E
❑ 6
❑
F
❑ 8
❑
K
SURFACE DISTURBED!
❑ Road Mix Bituminous ❑ Dirt
❑ Hot Mix Bituminous ❑ Gravel
Portland Cement Concrete ❑ Oiled Earth
❑ Roadway ❑ Blvd. ❑ Walk ❑ Alley
Size Disturbed
PIPE LENGTH ❑ Same Ft. Longer Ft Shorter Ft. Abandoned
SERVICE TAP MEASUREMENT
DATE STARTED COMPLETED 10-20-80 FOREMAN Rice
TRUCK NO. TOWN NO. FOREMANS P.R. NO.
To the (City Engineer
(City Council
(Village Council
(Town Board
The lindersigned hereby requests permission to perform the work
indicatr ve.
MINNESOTA14-
GA COMPANY
QBy
Z/ (Authorized Signature)
To the Minnesota Gas Company
Permission is hereby granted the Minnesota Gas Company to perform
the work indicated above.
—t o k.
Date1 } By
l (Authorized Signature)
FORM 45A R3/78