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Recd in Street MUNICIPAL <br />MINNEGASCO PERMIT NO. <br />Mpls.11 SERVICE INSTALLATION ORDER NO. _ <br />Sub. OKON0 E -NO. <br />Map No. 58•-' Old(] New❑ Odg. Class �— <br />Customer's Name Tel. <br />Installation Address 1-785 <br />Legal Description: Lot No. Block No. <br />- ears Addition <br />Contr% Name Tel. <br />Contr's Address <br />Owner's Name Tel. <br />Owner's Address <br />Date Ordered -.*26/V4 Max. Demand CF /Hr. Taken By <br />Main Auth. No. Service Location: Right E] Left [] Front [] <br />Add' I Info. /$'' PE service W �U i n s- :' EWL i ne 196Y SS _MLL +5•.. ' <br />Date Completed Foreman's Name <br />To the (City Engineer,.,: <br /><,, `. (. <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 />1-2 ('1J111AA <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 />Date <br />FORM 52-3R 6169 <br />By <br />of <br />(Authoriited Signature) <br />