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MINNEGASCO SERA/ICE INSTALLATION <br />Map No. Natural Gas ❑ Propane Vapor ❑ Permit No. <br />Municipality 0 rullo Minneapolis 0 Order No. 28559 <br />Folio No. Date Ordered E No. 3A <br />Customer's Name Jonathon I A i tchu:r Tel. <br />Installation Address 1925 Fox St Zip, <br />Lot Block Addition Parcel 800 <br />Method of Installation or Construction (including method of compaction <br />and excavation) will be in accordance with procedures as described in <br />Minnega:fo Operations Manual, Section 500, "Excavating, Backfilling and <br />Surfaci .9", the most recent edition on file with the permitting authority. <br />Install: Service Main <br />Additional Info. <br />Pressure Class <br />LJOLU %-UI11{JIGICU 1 vi US11011 a 17011 IG <br />To the (City Engineer <br />(City Council <br />(Village Council <br />(Town Board <br />Location <br />The Minnesota Gas Company hereby request- permission to perform the work <br />indicated above. <br />MINNESOTA GAS COMPANY <br />(Chief E-gineer) <br />To the Minnesota Gas Company <br />Permission is hereby granted the Minnesota Gas Company to perform the work <br />indicated above. <br />G'ity o Orono <br />Date BY L11111 <br />(, / <br />(A i ure) <br />Form 52 8 5/78 '° <br />