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Recd in Street <br />MUNICIPAL <br />MINNEGASCO <br />PERMIT NO. <br />Mpls.F] SERVICE <br />INSTALLATION <br />ORDER NO. 14091 <br />Sub. cj!�C4u <br />E -NO. 330 <br />Map No. - lf, <br />Old❑ New❑ Bldg. <br />Class 6 <br />Customer's Name <br />C.;11.) ` . <br />Tel. <br />Installation Address l <br />-1j,1Lrk 'kiub R51, i,�t <br />r i<�.;r . i;_;, X6,.rr,&c.a1 <br />Legal Description: Lot No. <br />Block No. <br />Addition <br />Contr's Name <br />Tel. <br />Contr's Address <br />Owner's Name <br />Tel. <br />Owner's Address <br />Date Ordered jjtir Max. <br />Demand CF/Hr. <br />Taken By <br />Main Auth. No. <br />Service Location: <br />Right <br />ft [] Froni F-1Add'I <br />Info. r sero <br />W PVC ,Mai1t,, 11-�1ti: <br />►L1n: T�� {� <br />56-59111 <br />Date Completed Foreman's Name <br />To the (City EngineerCt--'A. <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 />MINNcAPOLIS GAS COMPANY <br />r <br />To the Minneapolis Gas Company <br />(Chief Design Engineer) <br />Permission is hereby granted the Minneapolis Gas Company to perform <br />the work indicated above. <br />of <br />DateB y ' _ l ��� <br />---- -- la•�--- <br />(Authorized Signature) <br />FORM 52-3R 5 n9 <br />