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R.cod in Shoot MUNICIPAL <br />MINNEGASCO PERMIT NO. <br />i <br />Mpls•0 SERVICE INSTALLATION ORDER NO$ <br />Sub. k;. ,w E-NO. <br />Map NO.' Old❑ Now❑ Bldg. Class <br />Cwstomor t Name fir, • • <br />Installation Ad"ss <br />Legal Description: Lot No. Block No. <br />Addition <br />Coor's Name Tol. <br />Contr's Address <br />Owner's Name,;;, _ Tol. <br />Owner's Address <br />Dote Ordorod-..�_ Max. Demand CF/Hr. Taken By <br />'Maio Auth. Noy Service Location: Right ❑ Loft ❑ Frent <br />Add' I Info. <br />Dote Coop leted Foremen's Nome <br />To tho- (City Engineer <br />(City Council <br />(Village Council <br />(Town Board <br />The Minneapolis Gas Company heroby requosts permission to perform <br />*9 work indicated above. <br />MINNEAPOLIS GAS COMPANY <br />(Chief aa," ff"91" r) <br />To " Minneapolis Gas Company <br />Permission is hereby granted the Minneapolis Gas Company to perform <br />N _ Indiceted above. <br />of <br />By <br />(AvdwiaW :%peM.) <br />FORM s" R i/N <br />