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MipNo___ <br />Municipiirty <br />folio No.... <br />MINNEGASCO SERVICE INSTALLATION <br />NoturatGw O fropane Vapor D Rermit No. <br />.......... Minnaapons O Order No. <br />iiom <br />.Date Ordered <br />iT ^ I iSJTf <br />M.a 1 1 fL CjTi-r ^ f .n I <br />CMr» <br />^Tal. _____ <br />.ap ------- <br />! t 3 <br />Method of Imtaiiation or Construction (including method of compaction <br />and excavation) rviil be in accordance with procedures as deecribad in <br />^innegMCoIpparations ItouafTSectior^^ *^Excavating. Backfilling and <br />Surfacing**^ the most recent edition on file with the permitting authority. <br />Install:______ <br />Additional Info. <br />.Service..Main .Location <br />.Pressure Claes. <br />Date Completed..foreman's Name <br />To the (City Engineer <br />(City CouiKit <br />(Village Council <br />(Town Board <br />The Minnesota Gas Company hereby requests permission to perform the work <br />ir)dicated above. <br />MINNESOTA GAS COMPANY <br />yV (Chief Engineer) <br />To the Minnesota Gas Company <br />Permission is hereby granted the Minnesota Gas Company to perform the work <br />indicated abow. <br />f j. <br />Date. <br />/ • <br />(Authorired Signature) <br />ra.i.nns/>t