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Map No. <br />Municipality <br />Folio No.. <br />MINNEGASCO SERVICE INSTALLATION <br />___ Natural Gas □ Propane Vapor □ Permit No. <br />3 Minneapolis O Order No. 28S^9 <br />r>atp Ordered 8-7- 79 E No. <br />Customer's Name Carlcttd Gables t»i ______ <br />Instaiistion V7Q^ Casco Avenug 7ip <br />Lot ____Block ____[i_Addition Car.co Hnight<v_________________________ <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 />Date Completed Foreman's Name <br />^ -%essure Clas <br />—....................... <br />To the (City Engineer <br />(City CourKil <br />(Village CourKil <br />(Town Board <br />The Minrsesota Gas Company herelsy requests permission to perform d>e work <br />irKficated above. <br />MINNESOTA GAS COMPANY <br />• I <br />.^,L' "> *’ <br />/ <br />(Chief EngiAMr) <br />To the Minnesota Gas Company <br />Permission is h«^eby granted the Minnesota Ge Comp«iy o (»rform the work <br />irKficated above. <br />Hat* _ . <br />i AuKtoriie# Sifesryrvi <br />Aorm 12 n eae