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;���� MINNEGASCOSER410E INSTALLATION <br />Map No. Natural Gas CO Propane Vapor L7 Permit No. <br />Municipality u.Minneapolis CJ Order No. <br />Folio No. Date Ordered II r- - 0 5, E No. <br />fme �lttormr's NaI a A n ri.0 f' S i j Tel. <br />Installation Addrm A a '= „ x; Zip <br />Lot 9 mock..._ 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 Manual, Section 500, "Excavating, Backfilling and <br />Surfacing", the most recent edition on file with the permitting authority. <br />Install: Service Main <br />Additional Info. <br />Pressure Class <br />Date Completed Foreman's Name <br />To the (City Engineer <br />(City Council <br />(Village Council <br />(Town Board <br />Location <br />Minnegasco Inc. hereby requests permission to perform the work indicated <br />MINNEGASCO, INC. <br />� � . <br />IWO <br />To Minnegasco, Inc. <br />Permission is nereby granted Minnegasco, Inc. to perform the work indicated <br />above. <br />of <br />T— <br />Date /o,-V F- By G y1 t•C'"' <br />(Authorizes! ignature) <br />Form 52 R 5/78 <br />