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MINNEGASCO SERVICE INSTALLATION <br />Map No. Natural Gas 0 Propane Vapor ❑ Permit No <br />Municipality Orunc Minneapolis a Order No <br />Folio No. Date Ordered 1 i — -1 9 —8 ' E No <br />IL <br />stomer's Name Rnhert- Kn,t Tel. <br />nstallation Address 1525 rvs t a 7 1 �► r-e Zip <br />ot f�_9_Mck_ 1 Addition Navarr�� t.{E, rrht <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 Mac..,al, Section 500, "Excavating, Backfilling and <br />Surfacing", the rnost recent edition on file with the permitting authority. <br />Install: <br />Additional Info. <br />Date Comaleted <br />Service Main Location <br />To the (City Engineer <br />(City Council <br />(Village Council <br />(Town Board <br />F ultVIIdil J IVd1I1C <br />Pressure Class <br />The Minnesota vas Company hereby requests permission 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 />Date <br />Y �Ar ' <br />(Authorized Signature) <br />Form 52 R 5/78 <br />