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MINNEGASCO SERVICE INSTALLATION <br />Map No. f ` 0 Natural Gas ❑ Propane Vapor ❑ Permit No. <br />Municipality ___ Cron Minneapolis C] Order No. <br />Folio No. Date Ordered 5--7-85 E No. <br />Customer's Wame FYitz (ullick_son i.rctm� Blcil- Tel. <br />Installation Address 750 '', ckey L#oj- i! N Zip <br />Lot Block IAddition R.i noer!: wtx-)d <br />Method of Installation or Construction (including method of compaction <br />and excavatio,,,) will be in accordance with procedures as described in <br />Minnegasco Operations Manual, Section 500, "Excavating, Backfilling and <br />Surfacing", the most recent edition on file with the permitting authority <br />Install: Service Main <br />Additional Info. <br />Preswre Class <br />U t Carnpleted Foreman's Name <br />To the (City Engineer <br />(City Council <br />(Village Council <br />(T"wn $ oaN-d <br />304 f 7 <br />Location <br />Minnegasco Inc. h«xreby , eauests permission to perform the work indicated <br />above. <br />MINNEGASCO. INC. <br />t_ <br />— supervisor) <br />To Minnegasco, Inc <br />Permisgrun is hereby granic ' Minnugasco. Inc. to perform the work indicated <br />of <br />G,:te dy <br />iAuthorired Signature) <br />Form 52 R 5/78 <br />