HomeMy WebLinkAbout1978-04-04 Notice of Gas Service InstallationRec"d in Street MUNICIPAL
MINNEGASCO PERMIT NO.
MPIs. SERVICE INSTALLATION ORDER NO. �.
Sub-- Mr E-NO.
Map NQ. _ Ojd❑ Now[] Bldg. Class
Customer's Name Tel.
Installation Address;; "
Legal De .cription: Lot No. s: Block No. _
w Ae ition
Contr's Name _ Tel.
Contr's Address
Owner's Name Tel.
Owner's Address
Date Ordered x� Max. Demand CF/Hr. Taken By
Main Auth. No. Service Location: Right ❑ Left ❑i Front ❑
Add' I Info. „ :-u T .•f + • I r� I S ° �'•, a� r , _; ? , ;,
Date Completed Foreman's Name
To the (City Engineer.
(City Council
(Village Council
(Town Board
The Minnesota Gas Company hereby requests permission to perform
the work indicated above.
MINNESOTA GAS COMPANY
u (
(Chief Design Engineer)
To the Minnesota Gas Company
Permission is hereby granted the Minnesota Gas Company to perform
the work indicated above.
of
Date By
(Authorized Signature)
FORM 52-9R 8169