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Rec'd in Street <br />MINNEGASCO <br />Mpls.E1 SERVICE INSTALLATION <br />Sub. <br />Map No. Old❑ NL-\,r Bldg. <br />MUNICIPAL <br />PERMIT NO. <br />ORDER NO. <br />E-NO. <br />Class <br />Customer's Name ft cbtry YTeI. <br />Installation Address 1330 F" �>, <br />Legal Description: Lot No. _ 11-12 black No. — <br />_ Addition <br />Contr's Name Tel. <br />Contr's Address <br />Owner's NomeTel. <br />Owner's Address <br />Date Ordered 6-1,:1., Max. Demand CF/Hr. Taken By <br />Main Auth. NO. Service Location: Right 0 Left Front <br />Add' 1 Info. 3/8" P1 Serer >. <br />2 PST <br />Date Completed Foreman's Name <br />To the (City Engineer ALL <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 />1-1 <br />M <br />To the Minnesota Gas Company <br />(Chief Design Engineer) <br />Permission is hereby granted the Minnesota Gas Company to perform <br />the work indicated above. <br />Date_.. <br />r . of <br />By <br />(Authorized Signature) <br />FORM $I -an a/ so <br />