Laserfiche WebLink
Rec'd in Street <br />MINN EGASCO <br />Mpls.❑ SERVICE INSTALLATION <br />Sub. <br />Map No. Old❑ New❑ Bldg. _ <br />Customer's Name <br />Installation Address _ <br />Legal Description: Lot No. Block No, <br />Contr's Name <br />Contr's Address <br />Owner's Nome_ <br />Owner's Address <br />Date Ordered <br />Main Auth. No. <br />Add' I Info. <br />Date Completed <br />To the (City Engineer <br />(City Council <br />(Village Council <br />(Town Board <br />MUNICIPAL <br />PERMIT NO. <br />ORDER NO. <br />E•NO. <br />Class <br />Tel. <br />Addition) <br />Tel. <br />Tel. <br />Max. Demand CF •Hr. Taken By_ <br />Service Location: Right ❑ Left ❑ Front ❑ <br />Foreman's Nome <br />The Minnesota Gas Company hereby requests permission to perform <br />the work indicated above. <br />MINNESOTA GAS COMPANY <br />(Chief Design Engineer) <br />To the Minnesota Gas Company <br />Permission is hereby granted the Minnesota Gas Company to perform <br />the work indicated above. <br />of <br />Date By <br />(Authorized Signature) <br />FORM 92-3R 6 69 <br />