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MINNEGASCO SERVICE INSTALLATION <br />Map No. Natuna! uas O Propane Vapor L] Permit No. <br />Municipality Or—Minneapolis 0 Order No. 10Aci+ <br />Foliu No. Date Ordered I 1 - 1 E No. 744f; <br />rEt"IFE <br />'Name Ra ri ind f.Pmaf Tel. <br />Address -14j 0 R i rrh I ann rip <br />Block Addition <br />Meth d 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: Service Main Location <br />Additional Info. <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 Engineerl <br />To the Minnesota Gas Company <br />Permission is hereby granted the Minnesota Gas Company to perform the work <br />indicated above. <br />Of <br />Date By <br />IIAW ud ) <br />