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Rec'd in Street <br />Mpl$. I I <br />MINNEGASCO <br />SERVICE INSTALLATION <br />Sub. <br />^_Mop No.Old ONew neidg. <br />MUNICIPAL <br />PERMIT NO. <br />ORDER NO. <br />E-NO. <br />______ Class <br />Customer’s Nome Tel. <br />Installation Address <br />Legal Description: Lot No.Block No. <br />.Addition _ <br />Contr's Nome Tel. <br />Contr’s Address <br />Owner's Nome _Tel. <br />Owner's Address <br />Dote Ordered ___ <br />Main Auth. No. <br />Add ’l Info. ___ <br />Dote Wanted <br />Max. Demand <br />Taken By <br />CF/Hr. Svc. Loc: AnBQCQ <br />Date Completed Foreman’s Name <br />To the (City Engineer <br />(City Council <br />(Village Council <br />(Town Board <br />The Minneapolis Gas Company hereby requests permission to perform <br />the work indicated above. <br />MINNEAPOLIS GAS COMPANY <br />(Asst. Chief Engr.) <br />To the Minneapolis Gas Company <br />Permission is hereby granted the Minneapolis Gas Company to perform <br />the work indicated above. <br />Date <br />(Authorized Signature) <br />S2-3 I/S3 <br />'i