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MINNEGASCO SERVICE INSTALLATION <br />Map No. Natural Gas ❑ Propane Vapor ❑ Permit No. <br />Municipality {lrnri _„ Minneapolis Cl Order No, 16182 <br />f� <br />Folio No. Date Ordered _...6 —,8 — 21 E No. ._ <br />It n <br />S QletollMr's Neme t• n r Y v Ira& <br />r <br />Mstallebon Address f ri ' i 5 C �t r;& r i r3 ca t) r ZIP <br />tot -JAm..eloak 2 Addition C^ <br />'r <br />f <br />Method of Installation or Construction (including method of co npection <br />and excaveionl will be in accordance with procedures as described in <br />M-nnegascu Operations Manual, Section 500, "Excavating, Bm*fillkq and <br />Surfacing", the most recent edition on file with the permitting authority. <br />Install: Service Main Loasf�ipA <br />Additional Info. <br />Preseure Class <br />vote <br />To the ICity Engineer <br />(City Council <br />iVillage Council <br />(Town Board <br />The Minnesota Gas Company hereby re-!- -eats permission to perform the work <br />indicated above. <br />MINNESOTA GAS COMPANY <br />(Chief E <br />To the Minnesota Gee Company <br />Permission is hereby granted the Minnesota Gas Company to perform the work <br />indicated above. <br />/ <br />�! of <br />Data By <br />IAuMahw Signature) <br />Form 52 A 5/79 <br />