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Rec'd in Street MUNICIPAL <br />MINNEGASCO PERMIT NO. <br />Mpls.❑ SERVICE INSTALLATION ORDER NO. 1 <br />Sub. i1tLONV E -N 0. _ <br />Map No_-y;,;01 Old❑ New❑ Bldg. Class <br />Customer's Name_Tel. <br />Installation Address <br />Legal Description: Lot No. Block No. <br />Addition <br />Contr's Name Tel. <br />Contr's Address _ <br />Owner's Nome _ _ Tel. <br />Owner's Address <br />Date Ordered Max. Demand CF/Hr. Taken By <br />Main Auth. NO. Service Lc- -*ion: Right ❑ Left ❑ Front [] <br />Add' I Info. --S�uT1►_P1L-Foe" I', !sn .rq. s.?_.r, r <br />imayi 3*F-w; --+ <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 <br />the work indicated above. <br />MINNESOTA GAS COMPANY <br />(Chief Design Engineer) <br />To the Minnesota Gas Company <br />Permission is hereby granted the Minnesota Gas Company to perform <br />the work indicated above. <br />Date <br />of <br />1 ^� <br />By 's <br />(Authorized Signature) <br />FORM 52-9R 6/ 69 <br />