HomeMy WebLinkAbout1977-09-08 Notice of Gas Service InstallationRec'd in Street
MUNICIPAL
MINNEGASCO PERMIT NO.
Mpls.n SERVICE INSTALLATION ORDER NO.
Sub. x :� ca E-NO.
Map No. Old❑ Newn Bldg. Class
Customer's Name _-� _� �,��r .t
Tel.
Installation Address
Legal Description: Lot No.•B l^ck No.
r i.:Y■' Addition
Contr's Name Tel.
Contr's Address
Own, 's NameTel,
Ow.i : Address
Data
Ordered ,.�_ .1
Max. Demand -- A CF/Hr.
Taken By
Main
Auth. No.
Service Location:
Right Left.JZ
Front [�
Add'
I Info. •"
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
(Chief Design Engineer)
To the Minnesota Gas Company
Permission is hereby granted the Minnesota Gas Company to perform
the work indicated above.
t�
Date gy
r_'(Authwi:ed Signature)
1'ORM 52-3R 6/ 69