HomeMy WebLinkAbout1972-06-16 Notice of Gas Service InstallationMUNICIPAL
PERMIT NO.
Mpls.❑ SERVICE INSTALLATION ORDER NO.
Sub. i E-NO.
Map No. Old[:] Ntw❑ Bldg. Class
Customer's N iWe7 1 Tel.
Installation Address
Legal Description: Lot No. Block No.,
- Addition
Contr's
Contr's
Owner's
Owner's
Rec'd in Street
Name
Address
Name_
Address
MINN EGASCO
Tel.
Tel.
Date Ordered 6�1. Max. Demand CF/Hr. Taken By
Main Auth. No. Service Location: Right ❑ Left ❑ Front ❑
Add' I Info.
Mt
- Date Completed Foreman's Name _
To the (City Engineer
(City Council
(Village Council
(Town Board
The Minneapolis Gas Company hereby requests permission to perform
the work indicated above.
MINN EADOLIS GAS COMPANY
(Chief Design Engineer)
To the Minneapolis Gas Company
Permission is hereby granted the Minneapolis Gas Company to perform
the work indicated above.
Datr
of
By
(Authorized Signature)
FORM 52-3R 6/ 69