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601 MINNEGASCO SERVICE INSTALLATION
Map No. Natural Gas 0 Propane Vapor O Permit No.
Municipality O r n n n Minneapolis O Order No. 1Ci 1 7 d
Folio No. Date Ordered 3- 21- 3 b E No. 30
Cu:toMr'ti Name Van C k h o u t B l d Corp ---Tel.
2200 Install en Addm e v n Lane Zip
'
Lot Block 1 Addition e Nurser #
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: Service 'Rain Location
Additional Info.
Pressure Class
Unto %.viliplatm
To the (City Engineer
(City Council
(Village Council
(Town Board
Minnegasco Inc hereby requests permission to perform the work indicated
above.
To Minnegasco, Inc.
above -
MINNEGASCO. INC.
Permission is hereby granted Minnegasco. Inc. to perform the work indicated
M
of
(Authorized Signature)