HomeMy WebLinkAbout1985-Minnegasco 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.
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S
Install: Service Main Location
Additional Info.
Pressure Class
Date Com leted Foreman's Name
To the (City Engineer
(City Council
(Village Council
(Town Board
Minnegasco Inc. hereby requests permission to perform the work indicated
above.
MINNEGASCO, INC.
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� C�IG�y��--�z'/l'/�
(Supervisor)
To Minnegasco, Inc.
Permis�ion is hereby granted Minnegasco, Inc. to perform the work indicated
above. ,
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of
. .�. ,.
Date � . By
(Authorized Signature)
Form 52 R 5/78