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U •ifcl'm <br />V <br />^ ■ <br />C*«««ity K*«^ N«. <br />NENNiPIN COUMTY <br />NIGNWAY DEPAIITMINT <br />APm.lCAT10N FOR INS <br />ifiDvgni) <br />LLATtON OF tjiyiTI <br />JUN 2 un <br />MwniclMlily <br />LOCATION AND/OR DESCRIPTION OF WORK <br />Ddw tag service _______ ___ <br />•Iti^t •• CAuntjf RifHwsy N«... <br />____________ »• _____ <br />VILLM3B Oa OBOliir' <br />lRUUt^>V32SQ ^syticie^ PxOad ^ <br />to plact, comtniet and I <br />s^iicMt Minnesota Gas CoapEny_______________________ <br />Addfoaa 700 Limien Avenue Wast Minneapolis, 55403 <br />CITY fTATI <br />572-483S <br />HR COOB <br />Party of atfool m§m Saxam as hbove <br />Addvaaa SaMO aS ttbove <br />BIR COOB <br />Plwia (iaaiMsa).iVbove 372-4900 <br />1. AtWIAL CONSTWUCTION • Submit dttaHad print ihoidno tvpa and looirtOR of iftrtaHatlOR. <br />^Q^OCONSTRUCTIQM IMtT^T^ <br />□ Main «4Ct tlla Plya cloaa ■ <br />□ Traotita . ^ Tyya kaddiRf_______________ <br />□ Clay a? caacrata W»iea »yf <br />3Q]lStaaL plaalic Siaa 5/8 * PF^— <br />OtAar______________________________ Daofli - <br />CANHG <br />Stool ploa <br />OtAavtypo. <br />Siaa <br />DapHi <br />3. METHOD OP INSTALLINQ UNDER ROAOSEOS M ooaw tfWKh. taalali <br />Q^WavInf □ iacktnt □ Opaa tfoodli <br />TEAVELED SMRPACi <br />□ Cancrata <br />□ SItaailRaaa <br />SHOMLPEE <br />□ SilaaiinaMa <br />□ OtaYal <br />Olkaf_____ <br />■ODLEVAED <br />□ Sod <br />STRUCTURES <br />□ •rt4#a <br />□ Sax culvart <br />□ Pipa (CancYf a, aiatal) <br />□ CaiA 4 Oattar <br />□ Sidawalk <br />Odiar_______ <br />6. Tlia iMdaeavdllbaraMorad and all work undar this pwmit will baeomplaiad on or k <br />□ Traaa <br />□ Shraha <br />. □ Plaasiafa <br />Deconhor 31, 1977 <br />OATS <br />(PERMIT IS VOID AFTER THIS DATE) <br />ir waA cannal ba camplatad wlAln dataa apaclflad, a wflttan raoaaaf far panaUaian a( axianslan lauat ba wada la Aa Harwapla <br />Caanty Nlfharay'Daparttaant.^PWOOaj rva^ooaov^ ORwpvaa*a« va« «• <br />Eacapt far Aa riafllfaat acta af tba County. Ita aponta ond Ifa aaiplayaaa. Aa OlHlty ar Paraiittaa aball aaauwa all liability far and <br />lava Aa C^nty. ita apanla ond ita aaiplayaaa. banalaaa fraai any and all claima far dawapaa. acliana ar cauaaa af octlan arlainp <br />aut af tba waA fa ba dona barain and Aa caniinuinp uaaa by Aa Parmittaa. includinp but nat liaiiiad ta tba ptacinp. canatructinp. <br />racanalructinp. oialnfaininp and uainp af aold utility undar Aia application and Pamit far canatfuctian. <br />(I. «a) tba undaraipnad. borawiA accapt Aa tanno ond canditiana af Aa rapulatlana oa laid dawn by Aa County af Nannopin ond <br />apraa ta felly cawply ibarawltb la Aa aatlafactlan af tba County Nipbway Dapartmant. <br />m Orpa MINIinSOTA GAS COMPANY <br />L_._.f/IAlNT. I.1AY 2 7 1377 REC’II <br />/V-. - - ^--5-77 <br />Anoerp^yii, Oilcf Dttslj^ i!n}*in0pr