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MINNEGASCO SERVICE INSTALLATION <br />Map No. Natural Gas 0 Propane Vapor 0 Permit No. <br />Municipality 0 t'ono _ Minneapolis C) Order No. 3285 <br />Folio No. Date Ordered 44,8 E No. 30 <br />stomer's Name A i nev i ew <br />Installation Address 1815 Fage <br />Lot �_ Block _� Addition <br />Point <br />Met <br />ff Lake <br />Tel. <br />StAp <br />Method of Installation or Construction (including method of compaction <br />and excavation) •Nil' 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 Location <br />Additional Info. <br />Pressure Class <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 />MINNESOT�A`GAS COMPANY <br />i (Chief Engineer) <br />To the Minnesota Gas Company <br />q <br />Permission is hereby granted the Minnesota Gas Company to perform the work <br />indicated above. <br />Date ~ <br />atl�', <br />of _ <br />-- <br />B y <br />(Author <br />Form 52 R 5/78 <br />