DEP transmission log, Asbestos/Lead TRU, Dec 18 2002

NYC 9/11 Public Portal Document

s ewYorkCSty APPI.T!'ATTON FOR CONTRACT PERM) otr~c *d ccao:nm Cow 1a1 03E7.8-88)FROiT

PERZ4LTTEE (IBlH #: _ 11 s' CoNTRAC•1 #: Dc - REM BOUGN 2 DE OQ Ox Os : OMEC OBNEC OQEC DEC OREC OCMC SPONSOPflG AGENCT: f ODIC ODar OEYsnEc ONYSEDc ORPD OPARLCS PAo3EcT IN OsCA Eh OPA of NYa~r : Q Rokt Nyko R~SHP e4 P.E. Ba #:_(i IS)545 -37 8 1 OF coNACTM: •f1ctao,! ~t En►En)~vr,oa ►uu l Caere ,1txoLTELEBOHE #: (5) ) ,8 l - 30o 0 BUSDNEss ADDRESS: o o 3.Q N,S AvE,aue./ '# -TA64 74 RESIDENT E NGMEER NAME: TELEMC1M #: ( ) PROJECT crervnr.w. Q.... _

CONTRACT START DATE:

TYPE OF PAVEMENT: — - -te ' r . ROADRAT: sIDEia►r : TYPE OF PEMITT(S) REQQESTED (Check AllApplicable): 0711-791JOR INSTA L TrO-SE 0126-TEST PITS. CORES OR BORING ❑112-RAPID TRANSIT CT<AtDr/SHOVEL ON STRE7rT CONSTRUCTICH 0132-}1(STALL >~E ❑113-REPA71t 0205-PLACE SEPIM/TRAaER ON f_ 0135-FMNAL RFSTORSZRLL ❑114-REPAIR SERM STREET 0136-.fl -j 1gS~T.T LTT~S- 0115-REPAIR m/sERM NATER 0208-'MMngMARy P EsTR. A_N Mxx 0116-FEEL OIL LINE 0211-TA epla RQADi0l7 CTASING 0137-DEP-xLjOR 3NSTALLA rrcS- D214-PLACE cowTAZNER ON ❑118-RESET,REPA7R OR REPLACE SE SR3tEET CURB U2l.5-TF ARY SID 0201-PLACE 24~~sorar ON SST CLosmQG C1119-PAVE STREET D401-REPA SIDERLLX 0120-TREE PIT 0202-CROSSI7:ifs SIDEi .LK ❑402-coNS1gDCT aEp SD LB Dill -CONSTRUCT OR ALTER 29►NBOLE 0203-PLACE CRAM/SHOVEL ON ❑403-IMPLA ~ S STRUT AND/OR CASTING 9204-PLACE U1N T OTBSR MVW VTRTILAORS OTHER TYPE OF PER)ffT:

$PE L STIPOLAszoss:

OQ>C APPROVAL BY: DATE Dxo LOCATIONS ON REVERSE THE PERlaT TO BE GRANTED SUBJECT TO TEE FOLLOWING CMMITIONS: TBB APPLICANT setae TO OONPLT WITS ALL LAWS AND RULES OF TES NO P271aT SBALL BE ISSUED UNLESS TIM APPLICANT BAS ON FILE ALLDEPART24'NT AND OTBER API CA82.2 LAPS AND ROLES. INSIIRA(CE(BONDS).

APPROVED rM TEE CC!ffisSIONERR BY: SUM11TTED BY: NyC D cP DAZE ____B/oi

DATE: SIQNEDB 4 ~ # (71$)S'7~ ?

NYC-WTC 000111593