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Map No. _- <br />Municipality <br />MINNEGASCO SERVICE INSTALLATION <br />- Natural Gas Q Propane Vapor □ Permit No________ <br />Orono Minneapolis O Order No. ^5^7 <br />Customer's Name Curt Christensen TpI 1 <br />Installation Address <br />Lot Block <br />1285 Arbor St Tin <br />Addition Long Legal _________ <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:_______ <br />Additional Info. <br />.Service,.Main , Location <br />.Pressure Class. <br />Date Completed.Foreman's Name <br />To the (City Engineer <br />(City Council <br />(Village Council <br />(Town Board <br />The Minnesota Gas Company hereby requests permission to perform the work <br />indicated above. . .. <br />MINNESOTA GAS COMPANY <br />// (Chief Engineer) <br />• / <br />To the Minnesota Gas Company <br />Permission is hereby granted the Minnesota Gas Company to perform the work <br />indicated above. <br />n-; -h- <br />Date 10,12-79 By VilL <br />(Authorized Signature) <br />/ '•: / <br />Form 52 R 5/78