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MINNEGASCO SERVICE INSTALLATION <br />Map No. Natural Gas ❑ Propane Vapor ❑ Permit No. <br />Municipality ___ maws Minneapolis a Order No. 6946 <br />Folio No. Date Ordered IWQz77. E No. <br />r�stomer's Name a&M t dy Ir 7 Inc —Tell. _ <br />Installation Address 7820 Eacu l ana Lane Zip <br />Lot .I Block _ I Addition Larmlew <br />Method of Installation or Construction (including method of corr-)action <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: 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 h' iesota Gas Company hereby requests permission to perform the work <br />indicated abo,.. <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 1 1 -2 9- 7 9 <br />City _of � <br />1 ` <br />By <br />(Author <br />Orono <br />Signature) <br />Form 52 R 5/78 <br />