HomeMy WebLinkAbout1985-12-12 Notice of Gas Service Repairi
�- MINNEGASCO, INC. MAINTENANCE ORDER NO
0 MAIN j3 SERVICE PAV. CUT NO. LEAK'IPT NO _
DATE si MUNIC. r RE ,P. ACCT NO
FPC- or•ENO.
LOCATION .1�81 Fsl^� •SiG �G�
NATURE OF WORK ;v Cut _- t Mrn in-� - — -
FOREIGN STRUCTURES PRESS. CL. NEW SURFACE DISTURBED
Tole C, t Cl A TAP ❑ Road Mix Bituminous ❑ Dirt
Elac O Z O C SIZE O Hot Mix Bituminous Cl Gravel O 5 ❑ E n Portland Cement Concrete O Oilad Eatthi
i Light/Trel. Cable r-I 6 n F
Roadway
C3 a p K (-RoadwayO Blvd 0Walk 0Alley
Othe` Site Disturbed
i PIPE LENGTH O Same Ft. Longs Ft Shorter Ft Abandoned
i - _,moo:
{ SERVICE TAP MEASUREMENT
i
f+ DATESTARTED _ COMPLE-ED 11-lj—SS FOREMAN Mi j 1
TRUCK NO. TOWN NO. FOREMANS P.R. NO.
To the (City F ngineer
(City Council
( Village Council
(Town Board
Thr undersigned hereby requests 1)ermissic top, -m the work
indicatr d above.
MINNE�GGA�SjCO INC.
(Sr. Design Engm
To Minnegasco Inc
Pere-ssron is here granted Minnegasco, Inc to perform the
work indicated above.
Ot
By �41— V--
/ t
(Au" S*atW*l
i
i
,t
FORM "A MM
1