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Rec'd in Street <br />Mpls.[] <br />Sub. <br />MUNICIPAL <br />PERMIT NO. <br />ORDER NO. •6 <br />E-NO. ;f* <br />_Map No. OldE] New❑ Bldg. Class a <br />Customer's Name _I V Tel. <br />Installation Address �75 1 <br />Legal Description: Lot No. Block No. <br />gip' v Addition <br />Contr's Name Tel. <br />Contr's Address <br />Owner's Name_ Tel. <br />Owner's Address <br />Date Ordered 'J l -: Max. Demand CF/Hr. Taken By <br />Main Auth. No.S--..-: Service Location: Right 0 Leh [] Front 0 <br />Add' I Info. 5/V AA Sox-* Sz <br />Date Completed <br />MINNEGASCO <br />SERVICE INSTALLATION <br />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 />I P (4AA_ _LVV2-� <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 />Date <br />of <br />By (.A- ► <br />(Author i se+ , s io nawre) <br />f 1 <br />FORM 52-SR e/ ss <br />