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MINNEGASCO SERVICE INSTALLATION <br />Map No. Natural Gas 0 Propane Vapor F:3 Permit No. <br />Municipality ; �I-`>>>` Minneapolis O Order No. 10.S20 <br />Folio No. Date Ordered E No. �!) <br />lL <br />ustomer's Name Ain11eyasco Tel. <br />nstallation Address 11` O ' I mwuoJ Avenile Zip <br />ot 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 Location <br />Replace Service <br />Pressure Class <br />7C _�t7 t &�,I-)nfIocl i <br />uate com ietea - -- - „&. Foreman's Name <br />To the (City Engineer <br />(City Council <br />(Village Council <br />(Town Board <br />The Minnesota Gas Com�)any hereby requests permission to perform the work <br />indicated above. <br />i. <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 .� L t L1 <br />-�. o __4i: <br />By <br />(Authori:8d <br />r <br />Form 52 R 5/78 <br />