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Saskpower Gas Permit Online Template

Permit Date: 11/7/2018 Customer Name: Chuck Zoerb


Street Address or Lot/Block: 109 Spencer Dr.
Meter #: Address Type:
City/Town: Kindersley RM#:
Land Location: LSD: QTR: SEC:
TWP: West of:
Reserve Name: House:

Installation Type: Residential (circle one) Fuel TypePropane


Vent Type (if Applicable): Supplier: Superior Propane

Job Type* Equipment* QTY Manufacturer Input BTU Fee


New Propane Tank 1 S/N - V749337 $35.00
new Camper trailer $160.00

Total $195.00
Note: Use separate lines for each piece of equipment (tank set/furnace/h2o heater etc)

Work Descriptio (how, use, tank sn/size, sk # permit is for etc)


Install 2 x 1000 uswg propane tanks connected to a 4.5 million btu grain dryer

Employee Name:Mark Behrman Branch: Regina


Swift Current
(circle one)

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