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MINNESOTA GAS CO. MAINTENANCE <br />□ MAIN b SERVICE P.C. NO.____ <br />DATE ______________ <br />LOCATION: <br />MUNIC., <br />f' , <br />ORDER NO. <br />NARUCOR E NO., <br />RESP. ACCT. NO. <br />' < 17 <br />NATURE OF WORK r <br />FOREIGN STRUC.PRESS. CL.SURFACE DISTURBED PIPE LENGTH <br />TELE___________.□ 1 <br />□ 2 O ASPHALT □ OIL.□ SAME <br />ELEC___________,□ 3 <br />□ 4 (□ CONCRETE (D DIRT FT LONGER <br />Mill n ■O BL.VO O WALK D ALLEY <br />SIZE DISTURBED <br />FT SHORTER <br />OTHER-------------i a 6 FT ABANDONED <br />SERVICE TAP MEASUREMENT <br />DATE STARTED ' ^DATE COMPLETED FOREMAN <br />To the Minneiota Gas ComfMny <br />Permission is hereby granted the Minnesota Gas Company to perform <br />the work indicated above. <br />Date. <br />(Authorized Signature) <br />Form 45A R11/71