NYC 9/11 Public Portal Document
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PERMIT NICER:
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RESIDENT IIQGI ERR 1N►ME: TELEPH : ( )
PROJECT LESCRIPTION:
CO2$ItACT START DATE:
TYPE OF PAVE IMT: ROADWAY: SIIXSW►IP:-
TYPE OF PSMIXT(S) RECUESTID (Check 7.11 Applicable):
0111-29~.TOR ISTATT ATICK-SERER 0126-TEST PITS, CORMS OR BOP CRAM/SHOVEL ON
0112-RAPID TRANSIT CONSTRDClICZI 0132-INSTALL EENCE 0205-PLAC SHANTY/TPA= R ON
0113-REPAIR WATER Di.35-Ffl AL RESTORATION STREET
0114-REPAIR SERER D136-MEP-IO OOR 3NSTI A=CSrS- 0208-TF RARY PEDESTRIau SN►LP
0115-IMPAIR WATER/SEREtt LATE( '11-TEMPORARY ROADRAX CLOSD G
0116-FUEL OIL LDD 0137-IMP-1.70R 3NSTALIATICNS- 0214-PLACE CONTAII ON STREET
0118-RESET,REPAM OR RFPI.LP't` SELLER CI ' .1 5— 44:&AR4
CR S=ERA .R GTOSING
CMM 0201-PLACE t MAL ON STREET D401-REPAIR S7I)PiD1L1C
13119-PAVE STREET 13202-CROSSIIiG SIDEgLLK 0402-OONSTRUCT NEW SIDESEX.K
❑120-TREE PIT 0203-PLACE CRANE/SSOc$L ON 0403-FXPLACE SMDMIA K
0121-CONSTRUCT OR ALTER M►MOLE STREET VENT LATCRS
AND/OR CASTING '0204-PLACE EQVI 2iT OTHER THAN
OTHER TYPE OF PERMIT:
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OC APPROVAL BY: DAZE- [JMORE LOCATIONS ON REVERSE
THE P CT TO BE MANTID Sti&7EC_' TO TSE FOLLOWING OO1®ITIONS:
TM APPLIC M ACUES TO LT WITS ALL TARS AND RULES OF TSE DEPAR2M" AND OTHER APPLICABI2 LAWS AND ROLES.
NO PER = LL BE ISSUM DIC.ESS TSE APPLICANT BAS Ckt FILE ALL INSORANCE (BONDS) . -
APPROVED FM TEE COtBISSIONFR BY: S~TM) BY: N `IC E- P 14db DATE: I! a-
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OZIZEDBRPBESYPT1IIVE OF APPLICANT
NYC-WTC 000111652
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