HomeMy WebLinkAbout1974-10-28 Notice of Gas Service InstallationRec'd in Street MUNICIPAL
MINNEGASCO PERMIT NO.
Mpls.❑ SERVICE INSTALLATION ORDER NO..
Sub. E-NO.
Map No. _ Old[] Now[:] Bldg. Class
r Customer's Name Tel.
Installation Address��_„�,1,,,�,,,,�
Legal Description: Lot Igo. Block No.
Addition
Contr's Nome Tel.
Contr's Address
Owner's Name_ Tel.
Owner's Address
Date Ordered, Max. Demand C F/Hr. Taken By
Main Auth. No. Service Location: Right ❑ Left ❑ Front ❑
Add' I Info. t. ? 4 Y
Date Completed
Foreman's Nome
To the (City Engineer
(City Council
(Village Council
(Town Board
The Minnesota Gas Company hereby requests permission to perform
the work indicated shave.
MINNESOTA GAS COMPANY
(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
(Authorised Signature)
FORM 52-3R e/"