HomeMy WebLinkAbout1976-02-16 Notice of Gas Service InstallationRec'd in Street
MUNICIPAL
MINNEGASCO PERMIT NO.
MpIs.f_] SERVICE INSTALLATION ORDER NO. 1,264-
Sub. f::.�iiK) E-N0. — .44
Map No__� Old[] New[:] Bldg. Class
Customer's Name Tel.
Installation Address__;..:,;;_,
Legal Description: Lot No. Block No.
Addition
Contr's Name Tel.
Contr's Address
Owner's Name_ __ Tel.
Owner's Address
Date Ordered Max. Demand CF/Hr. Taken By
Main Auth. No. Service Location: Right [] Left Front
Add'I Info.
.,
f
Date Completed
To the (City Engineer .k)L
(City Council CALL
(Village Council
(Town Board
Foreman's Name
The Minnesota Gas Company hereby requests permission to perform
the work indicated above.
MINNESOTA GAS COMPANY
/' C
(Chief Design Engineer)
To the Minnesota Gas Company
Permission is hereby granted the Minnesota Gas Company to perform
the work indicated above.
Date
0
(Authorized Signature)
FORM 32.3R 6169