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x: <br />MINNEGASCO SERVICE INSTALLATION <br />Map N% Natural Gas ❑ Propane Vapor ❑ Permit No. <br />Municipality .Q.:)n2 I Minneapolis O Order No. T <br />Folio No. Date Ordered 4-14-80 E No. 7446 <br />Mustomer's Name —, J • H • tiL i I an J r . Tel. <br />Installation Address 1 700 Fn, c ree t Zip <br />Lot Block Addition Parcel 4200 <br />Method of Installation or Construction (including method of compaction <br />and excavation) will be in accordance with procedures as described in <br />Minnegasco Operations Manual, Section 500, "Excavating, Backfilling and <br />Surfacing", the most recent edition on file with the permitting authority. <br />Install: Service Main Location <br />Additional Info. <br />Pressure Class <br />uate uom <br />To the (City Engineer <br />(City Council <br />(Village Council <br />(Town Board <br />Foreman's Name <br />The Minnesota Gas Company hereb i requests permission to perform the work <br />indicated above. <br />3 <br />To the Minnesota Gas Company <br />MINNESOTA GAS COMPANY <br />�� P21 <br />f (Chief Engineer) <br />P,irmission is hereby granted the Minnesota Gas Company to perform the ,Nork <br />indicated above. <br />4- <br />of -{ <br />Date Byr <br />(Authorized Signature) <br />Form 52 8 5/78 <br />