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Rec'd in Street <br />Mpl s. ❑ <br />Sub. <br />MINNEGASCO <br />SERVICE INSTALLATION <br />Map No. Old [:]New ❑Bldg. _ <br />Customer's Name <br />Installation Address <br />Legal Description: Lot o. - Block No. <br />MUNICIPAL <br />PERMIT N0. <br />ORDER NO. <br />E -NO. <br />Class <br />Tel. _ <br />Addition <br />Contr's Name Tel. <br />Contr's Address <br />Owner's Name Tel. <br />Owner's Address <br />Date Ordered Date Wanted Taken <br />Main Auth. No. Max. Demand CF/Hr. Svc. <br />Add'I Info. <br />Date Completed Foreman's Name <br />To the (City Engineer <br />(City Council <br />(Village Council <br />By <br />Loc: A❑B❑C❑ <br />fOR N0TjFjCA-ng,.t!,� <br />(Town Board .. . of �4 1 V <br />The Minneapolis Gas Company hereby requests permission to perform <br />the work indicated above. <br />MINNEAPOLIS GAS COMPANY <br />(Asst. Chief Engr.) <br />To the Minneapolis Gas Company <br />Permission is hereby granted the Minneapolis Gas Company to perform <br />the work indicated above. <br />Date <br />Form 52.3 1/63 <br />By <br />Of <br />(Authorized Signature) <br />