HomeMy WebLinkAbout1972-05-19 Notice of Gas Service InstallationRec'd in Street MUNICIPAL
MINNEGASCO PERMIT NO.
MpIs.❑ SERVICE INSTALLATION ORDER NO.
Sub. ::, �R1i, E-NO. �_
Map No. Old❑ New❑ Bldg. Class
Customer's Name Tel.
Installation Address r _
Legal Description: Lot No. � Block No.
Addition
Contr's Name
Contr's Address
Owner's Name
Owner's Address
Tel.
Tel.
Date Ordered L,_,i` Max. Demand CF/Hr. Taken By
Main Auth. No. Service Location: Right ❑ Left ❑ Front ❑
Add'I Info.
Ail it ' '
Date Completed Foreman's Name
To the (City Engineer
(City Council
(Village Council
(Town Board
The Minneapolis Gas Company hereby requests permission to perform
the work indicated above.
MINNEAPOLIS GAS COMPANY
r (Chief Design Engineer)
3.4
To the Minneapolis Gas Company
Permission is hereby granted the Minneapolis Gas Company to perform
the work indicated above.
of
Date
(Authorized Signature)
FORM 52-314 6/ 69