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HomeMy WebLinkAbout1971-05-21 Notice of Gas Service InstallationRec'd in Street MUNICIPAL MINNEGASCO PERMIT NO. Mpls.FJ SERVICE INSTALLATION ORDER NO. Sub. �',KUNt. E-NO. _Map No. _Old❑ New❑ Bldg. Class ustomer s Name Pnif. Tel. Installation Address 122� Er-,-%tal ,AI R i Legal Description: Lot No.GIO+ir ;y; 7 Block No. e ,p_3��"� Addition Contr's Name_ Tel. Contr's Address Owner's Name Tel. Owner's Address Date Ordered Max. Demand CF/Hr. Taken By Main Auth. No. Service Location: Right [] Left [] Front 0 Add'I Info. ,,1,5-1 t'E $,ery W Aalti U'--J'H';/L W-469) LS eil t i t;� .•1 ty 11P..,1 — Date Completed To the (City Engineer,_ XY (City Council AL (Village Council (Town Board Foreman's Name The Minneapolis Gas Company hereby requests permission to perform the work indicated above. MINNEAPOLIS GAS COMPANY (Chief Desiqn Engineer) To the Minneapolis Gas Company Permission is hereby granted the Minneapolis Gas Company to perform the work indicated cbove. of Date By (Authorized Signature) FORM 52-3R 6/ 69