HomeMy WebLinkAbout1979-05-03 Notice of Gas Service InstallationMINNEGASCO SERVICE INSTALLATION
Map No. _ Natural Gas 0 Propane "v'apor 0 Permit No.
Municipality r:I - Minneapolis a Order No. 4,' 1,
Folio No. Date Ordered .s_ E No. 2,T
Customer's Name r►a'r Tel.
Installation Address 4p4p 3i,os�o Zip.
Lot _�- Block __Addition
Method of Installation or Construction (including method of compaction
and excavation) will be in accordance with procedures as described in
Minnegasco Operations Manual, Section 500, "Excavating, Backfilling and
Surfacing", the most recent edition on file with the permitting authority.
Install: Service Main Location
Additional Info.
Pressure Class
Uate 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
(Chief Engineer)
To the Minnesota Gas Company
Permission is hereby granted the Minnesota Gas Company to perform the work
indicated above.
i tv of 0-rolic
_ 1
4
Date -� - B -- -
Y
(Au oriza8 Signature)
Form 52 8 5/78