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Map No. <br />MINNEGASCO SERVICE INSTALLATION <br />Municipality <br />Folio No.__ <br />0 ronQ <br />Cuitomer'i Nam* Donald Trowdridcie <br />Natural Gas O Propane Vapor O <br />. — ■ I_Minneapolis O <br />__ Date Ordered IQ~I *79 <br />Installation Addreu <br />Lot .3___Bock- <br />I62t; Rohn»s pt Rd <br />Addition AudSub 349 <br />Permit No.. <br />Order No.. <br />___E No.. <br />----------Tel. <br />-------- Zip <br />3766 <br />3 <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:,.Service..Main . Location <br />Additional Info. <br />.Pressure Cla <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 herebv requests permission to perform the work <br />indicated above. <br />MINNESOTA GAS COMPANY <br />____________________________________________ / ' ^ (Chiaf EngioMr) <br />To the Minnesota Gas Company " V <br />Permission is hereby granted the Minnesota Gas Company to perform the work <br />indicated above. <br />P ! 4 .7 rtf <br />DfliA 1 3 -2.. <br />. /■/ /'Ry /. ^1^^ Y\AA J •---- <br />* (AuthoruW S»gnaturor ^ <br />Form 62 R 6/78