HomeMy WebLinkAbout1981-07-20 Notice of Gas Service InstallationMINNEGASCO SERVICE INSTALLATION
-■ Natural Gas □ Propjne Vapor O Permit No----------—
Municipality ____________________ Minneapolis O Order No—
Folio No_________________________D'ite Ordr" Prill----------- E No—
Customer's Name LilHJ—tq_n-----------------------------------------------------jel. ----------
Installation Address ^ I P- iiir*■ ----------------------------------------------- Zip ----------
Lot Block _____ AHHitir^n JohfV-. t Of.s Rcof rcnq^iiPen t_________________
Map No.
Method of Installation or Construction (including method of compaction
and excavation) will be in accordance with procedures as described in
Minnegasco Operations Manual, Section 500, "Excavating, Backfilling and
Surfacing", the most recent edition on file with the permitting authority.
Install:_______
Additional Info.
Service Main Location
.Pressure Class
Date Completed Foreman's Name
To the (City Engineer
(City Council
(Village Council
(Town Board
The Minnesota Gas Company hereby requests permission to perform the work
indicated above.
MINNESOTA GAS COMPANY
Qr/^l
X ■(Chief Engineer)
To the Minnesota Gas Company
Permission is hereby granted the Minnesota Gas Company to perform the work
indicated above.
^ y' / /L
Date
-7.-------.-i
(Authorised Signature)
Form 52 R 5/78