HomeMy WebLinkAbout1977-08-01 Notice of Gas Service InstallationRec'd in Street
MUNICIPAL
MINNEGASCO PERMIT NO.
Mpis.11 SERVICE INSTALLATION ORDER NO. '
Sub. E-NO. —
Map No. Old[] NewM Bldg. _ Class �
Customer's Name -' 4
,xS Tel.
Installation Address 5177 Nu
Legal Description: Lot No. Block No.
Addition
Contr's Name Tel. _
Contr's Address
Owner's Name_ Tel.
Owner's Address
Date Ordered 3 -1 .- i7 Max. Demand CF/Hr. Taken By
Main Auth. NO.' Service Location: Right -'El Left Front []
Add') Info. "i/H" AAA, A -A 5' 1. SS Li,
Date Completed Foreman's Name
To the (City Engineer L
(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.
d-4 of
f
Date ' By
(Authorized Signature)
IFORM 62-3R 69
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