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MINNEGASCO SERVICE INSTALLATION <br />Map No. Natural Gas ❑ Propane Vapor ❑ Permit No. <br />Municipality ... roaa Minneapolis El Order No. 317 <br />Folio No. Date Ordered I 1-1 B-BO E No. <br />Customer's Name Frpd Carbet7 Tel. <br />Installation Address 2525 nunrnndY AvPnup rp <br />Block _$_ Addition <br />Method of Installation or Construction (including method of compaction <br />and excavation) 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: <br />Additional Info <br />Service Main <br />Pressure Class <br />Location <br />Date Completed Foreman's Name <br />To the (City Engineer <br />(City Council <br />(Village Council <br />(Town Board <br />The Minnesota Gas Company hereby requests permission to perform the work <br />indicated above. <br />MINNESOTA GAS COMPANY <br />(Chief Engineer) <br />To the Minnesota Gas Company <br />Permission is hereby granted the Minnesota Gas Company to perform the work <br />indicated above. <br />Date <br />U <br />of <br />By <br />Form 52 R 5/74 <br />(Authorized Signs <br />r <br />