HomeMy WebLinkAboutMinnegasco emergency service replacement MINNEGASCO SERVICE INSTALLATION
Map No. Natural Gas � Propane Vapor ❑ Permit No.
Municipality Minneapolis � Order No.
Folio No. Date Ordered E No.
Customer's Name Tel.
Installation Address Zip
Lot Block Addition
Method of Installation or Construction (including method of compaction
and excavation) will be in accordance with procedures as described in
Minnegasco Operations Manual, Section 500, "Excavating, Backfilling and
Surfacing",the most recent edition on file with the permitting authority.
Install: Service— Main Location
Additional Info. �t
Pressure Class
Date Completed Foreman's Name N
To the (City Engineer
(City Council
(Village Council
(Town Board
The Minnesota Gas Compary hereby requests permission to perform the work
indicated above.
MINNEGASCO, INC.
fi�i�T,�..�
(Sr. Design Engineer):J
-—� . —
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To the Minnesota Gas Company
Permission is hereby granted the Minnesota Gas Company to perform the work
indicated above.
of
Date By
(Authorized Signature)
Form 52 R 5/78