HomeMy WebLinkAbout1985-Minnegasco repair � „;,. �, v�• - _�,.� ,; 3. ;:.'a, ,,:
MINNEGASCO, INC. MAINTENANCE ORDER NO.
O MAIN O SERVICE PAV.CUT NO. LEAK RPT.NO.
DATE MUNIC. RESP.ACCT.NO.
FPC-or-E NO.
LOCATION:
NATURE OF WORK
FOREIGN STRUCTURES PRESS.CL. NEW SURFACE DISTURBED
Tele � � � A TAP O Road Mix Bituminous � Dirt
Elec � z � C SIZE O Hot Mix Bituminous � Gravel
� 5 O E O Portland Cement Concrete O Oiled Earth
LighVTraf.Cable � 6 � F 0 Roadway 0 Blvd. � Walk � Alley
Other � 8 � K
Size Disturbed
PI?E LENGTH � Same Ft. Longer Ft.Shorter Ft. Abandoned
SERVICE TAP MEASUREMENT
DATESTARTED COMPLETED FOREMAN
TRUCK NO. TOWN NO. FOREMANS P.R.NO.
To the (City Engineer
(City Council "
� (Village Council
(Town Board ��
;, The undersigned hereby requests permission to perform the work ^
indicated above.
MINNEGASCO, INC.
n. � f s .i^ �73 �'! 1v��/�R��
i'
(Sr. Design Engineer)
To Minnegasco, Inc.
'� Permission is hereby granted Minnegasco, Inc. to perform the
d
} work indicated above.
r�:
'' of
;
�
Date By
�; (Authorized Signature)
FORM 45A R3/78