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MINNEGASCO SERVICE INSTALLATION <br />Map No. `' Natural Gas 0 Propane Vapor 0 Permit No <br />Municipality o'm Minneapolis 0 Order No <br />Folio No. Date Ordered r' f` `% E No <br />IL <br />sumwr's Name Rnn fiockridge Tel. <br />nstiilabon Address — 735 nic'key Lake- Dr Zap <br />ot ? Block 2AAddition Rinaerswroi <br />Method of Installation or Construction (including method of compaction <br />and exc vTtion) will be in accordance with procedures as described in <br />Minnego co Operations Manual, Section 500, "Excavating, Backfilling and <br />Surfacinu", the most recent edition on file with the permitting authority. <br />C465 <br />30 <br />Install: Service Main Location <br />Additional Info. <br />uate t:ompleted Foreman"s Name <br />To the (City Engineer <br />(City Council <br />(Village Council <br />(Town Board <br />above. <br />Pressure Class <br />Minnegasco Inc. hereby requests permission to perform the work indicated <br />MINNEGASCO, INC. <br />(Supervtwr) <br />To Minnegasco. Inc. <br />Permission is hereby granted Minnegasco, Inc. to perform the work indicated <br />above. <br />of <br />Date By <br />(Authorized Signature) <br />Form 52 R 5*78 <br />