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I <br />2 <br />MINNEGASCO, INC. MAINTENANCE <br />ORDER NO, 8602 ; <br />0 MAIN I] SERVICE PAV. CUT NO. <br />LEAK RPT, NO. ` <br />t <br />DATE 3•nJ.jj—Lj5 <br />MUNIC (G <br />RESP. ACCT NO. <br />FPC•or•ENO. _ <br />f LOCATION:..per ��� <br />j•2Giii+`. `' . <br />t <br />) <br />Jf{ NATURE OF WORK �� <br />•�- ,ac aeryicAa <br />Relin <br />4r <br />SURFACE DISTURBED <br />FOREIGN STRUCTURES <br />PRESS. CL, r <br />NEW <br />Tate <br />01 0 A <br />TAP <br />0 <br />Road Mix Bituminous 0 Olrt 1 <br />EIK <br />G 2 <br />SIDE <br />Cl <br />Not Mix Bituminous r] Gravel <br />-------- <br />0 5 E <br />0 <br />t7 <br />Portland Cement Concrete 0 Oiled Earth <br />I.Nht/Traf. Cable <br />�] 6 0 F ! <br />I <br />© <br />Roadway 0Brad. C7 Walk 1] Alley <br />09 C-7 K <br />Size Disturbed ; <br />Other <br />+I <br />it PIPE LENGTH 0 Some — <br />Ft Longer <br />Ft. Shorter _ Ft. Abandoned <br />SERVICE TAP MEASUREMENT <br />DATE STARTED <br />i <br />COMPLETED ,1&1 -2,%-FPS <br />FOREMAN Freberg 1 <br />FOREMANS P.H. NO. <br />To the (City Engineer <br />(City Council <br />(Vitiege Council <br />(Town Board <br />The undersi lned hereby requests permission to perform the work <br />imicarw above. <br />MINNEGASCO, INC. <br />(Sr. Design Engineer) <br />To Minnegasco, Inc. <br />Permission is hereby granted Minnegasco, Inc. to perform the <br />work indicated above. r. <br />of <br />Date <br />/Co-/ C - <br />SigMttrnl <br />y FORM "A RW78 <br />i..,,k.,,.,., <br />