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Rec'd in Street MUNICIPAL <br />MINNEGASCO PERMIT NO. <br />NIP Is.f-1 SERVICE INSTALLATION ORDER NO. 1-12 <br />Sub. E -NO. 4 -?0 <br />_Map No. 6; ,_ Id❑ New❑ Bldg. Class <br />Customer's Name 4 1 Tel. <br />Installation Address <br />Legal Description: Lot No. Block No. <br />Addition <br />Contr's Name Tel. <br />Contr's Address <br />Owner's Name Tel. <br />Owner's Address <br />Date Ordered Max. Demand CF/Hr. Taken By <br />Main Auth. No. Service Location: Right ❑ Leh ❑ Front ❑ <br />Add'1 Info. 01 " <br />Y. <br />Date Completed Foreman's Name <br />To the (City Engineer..''`'' <br />(City Council '- <br />(Village <br />(ViIlage Council <br />(Town Board <br />The Minneapolis Gas Company hereby requests permission to perform <br />the work indicated above. <br />MINNEAPOLIS GAS COMPANY <br />--j <br />(IAAAi <br />(Chief Design Engineer) <br />To the Minneapolis Gas Company <br />Permission is hereby granted the Minneapolis Gas Company to perform <br />the work indicated above. <br />of <br />Date y <br />7f P-1.1 <br />(Authorized Signature) <br />FORM S2 -3R 6/ 69 <br />