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MINNEOASCO SERVICE INSTA, tiTION <br />Map No. _ Natural Gas ❑ Propane Vapor U Permit No <br />Municipality 'it Minneapolis 0 Order No <br />Folio No. .._ Date Order,:d 8-2 2-96 E No <br />Customer's Name John Lough i in Tel. <br />Ins <br />tallation Address 42 i ir f or+ns t LaKt- Dri vP Zip <br />Lot 1 Block _ 3 Addition ForPs r Arms Cri lfl t rU C i Lilb <br />738a <br />f44n ,_ <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 />Surfacinc,", the most recent edition on file with the permitting authority. <br />Install: <br />Additional Info <br />vaLc 1.U111U1ClCU <br />Service Main Location <br />To the (City Engineer <br />;City Council <br />(Village Council <br />(Town Board <br />roreman s ivame <br />Pressure Class <br />The Minnesota Gas Company hereby requests permission to perform the work <br />indicated above. <br />MINNESOTA GAS COMPANY <br />(Chief Engineer) <br />To the Minnesota Gas Company <br />Permission is hereby granted the Minnesota Gas Company to perform the work <br />indicated above. <br />Date <br />By . <br />Of <br />Form 52 R 5- 78 <br />(Authorized Signature) <br />