Laserfiche WebLink
Rec'd in Street <br />MINNEGASCO <br />Mpls.❑ SERVICE INSTALLATION <br />Sub. <br />Map No. Old[] Now(:] Bldg. <br />Customer's Nor..,a = r <br />Installation Address % %n�IC <br />Legal Description: <br />Contr's Name <br />Contr's Address <br />Lot No. Block No. <br />MUNICIPAL <br />PERMIT NO. <br />ORDER NO. <br />E-NO. <br />Class i <br />Tel. <br />Tel. <br />Addition <br />Owner's Name_ Tel. <br />Owner's Address <br />Date Ordered Max. Demand - .I•.# CF/Hr. Taken By <br />Main Auth. No..S ?7; Service Location: Right,[] Leh ❑ Front ❑ <br />Add'I Info. r f 8'' AA ;;cry 1'•" A a �:� <br />,T <br />if'-' - <br />Date Completed Foreman's Name <br />To the (City Engineer; <br />(City Council <br />(Village Council <br />(Town Board <br />The Minnesota Gas Company hereby requests permission to perform <br />the work indicated above. <br />MINNESOTA GAS COMPANY <br />(Chief Design Engineer) <br />To the Minnesota Gas Company <br />Permission is hereby granted the Minnesota Gas Company to perform <br />the work indicated above. <br />of <br />Date By <br />•;.: r <br />(Authorized Signature) <br />FORM a*-sR s/ N <br />