HomeMy WebLinkAbout1981-01-29 Notice of Gas Service RepairMINNESOTA GAS CO. MAINTENANCE ORDER NO. 8595
❑ MAIN ® SERVICE PAV. CUT NO. LEAK RPT. NO.
DATE 1-22-81 MUNIC, Orono RESP. ACCT. NO.
FPC -or - E NO. 81
LOCATION: 1065 Ferndale Road WeSt
NATURE OF WORK
u tat Main
FOREIGN STRUCTURES
PRESS. CL.
NEW
SURFACE DISTURBED
Tale
❑ 1
D
A
TAP
a
Road Mix Bituminous ❑ Dirt
Elee
❑ 2
❑
C
SIZE
a
Not Mix Bituminous ❑ Gravel
0 5
❑
E
❑
Portland Cement Concrete ❑ Oiled Earth
Light/Traf. Cable
❑ 6
❑
F
❑
Roadway ❑ Blvd. ❑ Walk ❑ Alley
❑ B
[]
K
Size Disturbed
Other
PIPE LENGTH O Same
Ft.
Longer
Ft. Shorter Ft. Abandoned
SERVICE TAP MEASUREMENT
DATE STARTED COMPLETED 11-20-80 FOREMAN
N NO. FOREMANS P.R. NO.
To the (City Ernginew
(City Council
(Village Council
1 Town Board
The undersigned hereby requests permision to perform the work
Indicated above.
MINNESOTA G COMPANY
By
/� (Authorized Signaturel
To the Minnesota Gas Company
Permission is hereby granted the Minnesota On Company to perform
the work indicated above.
Of .�GfR N• Q
r
U r /'
l�Ld
Date
(Authorized igr4ture)
FORM 45A R3/'^