HomeMy WebLinkAbout1976-07-28 Notice of Gas Service InstallationRec'd in Street
MINNEGASCO
MUNICIPAL
PERMIT NO.
Mp I S.n SERVICE INSTALLATION ORDER NO.
Sub. E-NO.
_Map No. Old❑ New❑ Bldg. Class
Customer's Name 'el.
Installation Address
Legal Description: Lot No. Block No.
Addition
Contr's Name Tel.
Contr's Address
Owner's NomeTel.
Owner's Address
Date Ordered Max. Demand CF/Hr. Taken By
Main Auth. No. Service Location: Right Left[] Front []
Add' I Info. ,r_. erg:
t •x •r �
Date Completed
Foreman's Flame
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
r
(Chief Design Engineer)
To the Minnesota Gas Company
Permission is hereby granted the Minnesota Gas Company to perform
the work indicated above.
Date
of
By
(Authorized Signature)
FORM 52-3R 6/ 69