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I <br />.. �> .mss+ .. ... �. p.�y,•yy�"� 7`„''. "�i <br />MINNEGASCO SERVICE INSTALLATION <br />Map No. Natural Gas U Propane Vapor CJ Permit No. <br />r <br />Municipality Minneapolis O Order No. 8 <br />Folio No. Date Ordered - W 3 _g 2 E No. <br />Cwtomn's Narne Coiist Co IncTel. <br />Installation Address 2211r' ", 'n l Drive ve Zip <br />Lot Block " Addition Or Cc�iintr%rFide, <br />Method of Installation or Construction (including method of compaction <br />and excavation) will be in accordance with procedures as described in <br />Minnegasco Operations Manual, Section 500, "Excavating, Backfilling and <br />Surfacing", the most recent edition on file with the permitting authority. <br />Install: Service Main Location <br />Additional Info. <br />Pressure Class <br />Date Completed Foreman's Name <br />To tate (City Engineer <br />(City Council <br />(Village Council <br />(Town Board <br />The Minnesota Gas Company hereby requests permissior. to perform the work <br />indicated above. <br />MINNESOTA GAS COMPANY <br />(Chief Engineer) <br />To the Minnesota Gas Company <br />Permission is hereby granted the Minnesota Gas Company to perform the work <br />indicated above. <br />Of <br />Date i ' By <br />(Authorized Signetwel <br />Form 52 N b%/a <br />