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MINNEGASCO SERVICE INSTALLATION <br />Map No. Natural Gas 0 Propane Vapor ā‘ Permit No. <br />Municipality W#;pRF- Minneapolis O Order No. <br />Folio No. Date Ordered i (4 5 S jā€” E No. y <br />r1nist'al <br />lation Name vā€“ -em nAddress nAt Block Addition <br />Install <br />.Tel. <br />Zip <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 />Additional Info <br />Service <br />To the (City Engineer <br />(City Council <br />(Village Council <br />(Town Board <br />Main <br />Name <br />Pressure Class <br />Location <br />The Minnesota Gas Company hereby requests permission to perform the work <br />indicated above. <br />MINNESOTA GAS COMPANY <br />/I (Chief Engineer) <br />To the Minnesota Gas Company <br />Permission is hereby granted the Minnesota Gas Company to perform the work <br />indicated above. <br />r <br />Date -Viyd) By <br />Form 52 R 5 78 <br />