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Rec'd in Street <br />Mpis. <br />Sub. <br />Map No. <br />(MU3IIO <br />r.'7 <br />MINNEGASCO <br />SERVICE INSTALLATION <br />______OldQ NewD Bldg. <br />MUNICIPAL <br />PERMIT NO. <br />ORDER NO. <br />E-NO. <br />Class <br />uXi• 1 f <br />Customer’s Name ___ <br />Installation Address , ■ <br />Legal Description; Lot No. <br />-Tel. <br />Block No. <br />Addition... <br />Contr’s Name __ <br />Contr’s Address <br />Owner ’s Name <br />^1?Tel. <br />Owner ’s Address <br />Date Ordered __ <br />Main Auth. No. <br />Add ’l Info. <br />Tel. <br />^ i % ^ i Max. Demand CF/Hr. Taken By <br />Service Location: Right Q Left Q] Front | <br />C /£tlf .S Ll ^ A __ 4 d \V V V • s i <br />Date Completed Foreman’s Name <br />To the (City Engineer <br />(City Council <br />(Village Council <br />(Town Board <br />CALL <br />The Minneapolis Gas Company hereby requests permission to perform <br />the work indicated above. <br />MINNEAPOLIS GAS COMPANY <br />(Chief Design Engineer) <br />To the Minneapolis Gas Company <br />Permission is hereby granted the Minneapolis Gas Company to perform <br />the work indicated above. <br />/ <br />Date / - /- -7^-'> <br />(Authorizad Signotur*) <br />rORM 52>3R s/e»