HomeMy WebLinkAbout1972-08-21 Notice of Gas Service InstallationRec'd in Street
MUNICIPAL
MINNE GASCO PERMIT NO.
Mpls.0 SERVICE INSTALLATION ORDER NO. r
Sub. I E-NO.
Map No. Old❑ New❑ Bldg. Class ✓
Customer's Name_ itiks 5OC,1316 Tel.
Installation Address tun i;tt}RCt—_
Legal Description: Lot No. _� Block No. _
-0- IM, 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
A d'I Info. pqt, pr y&r-g mal11 ?9Wj1 Ina (1of,01 - —
Date Completed
To the (City Engineer
y )r
(City Council
(Village Council
(Town Board
Foreman's Name
The Minneapolis Gas Company hereby requests permission to perform
the work indicated above.
MINN EAPOL IS GAS COMPANY
(Chief Design Engineer)
To the Minneapolis Gas Company
Permission is hereby granted the Minneapolis Gas Company to perform
the work indicated above.
Date
of
By
(Authorized Signature)
FORM 52-3R 6' 69