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MINNEGASCO SERVICE INSTALLATION <br />Map No. . Natural Gas ❑ Propane Vapor ❑ Permit No. T <br />Municipality 0 ronQ Minneapolis C7 Order No. 2142 <br />Folio No. Date Ordered 4-1 7-80 E W.._7446 <br />Customer's Name Andrew Goetten <br />Installation Address 1 38� Fox Street f <br />Lot Block Addition <br />Method of Installation or Construction (including method of compaction <br />and excavation) will be in accordance with procedures as described in <br />Minnegasco Operations Marift, Section 500, "Excavating, Backfilling and <br />Surfacing", the most recent edition on file with the permitting authority. <br />Install: Service Main Location <br />Additional Info. <br />Pressure Class <br />time lL.vmU!eieu <br />To the (City Engineer <br />(City Council <br />(Village Council <br />(Town Board <br />f VI OI Ipal l a I'llollyr <br />The Minnesota Gas Company hereby requests permission to perform the work <br />indicated above. <br />MINNESOTA GAS COMPANY <br />i <br />(Chief Engineer) <br />To the Minnesota Gas Company <br />Permission is hereby granted the Minnesota Gas Company to perform the work <br />indicated above. <br />�f •� of <br />Date By 47 <br />(Au thor i zed S►gn ature) <br />Form 52 R 5/78 _ <br />