NYC 9/11 Public Portal Document
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NAME OF CONTRACTOR: SENSA hi r AL 72MMONE 4: (71 8 ) 53 (- 2_) 0
BUSINESS ADDRESS: I2 4 RALPH AyE14U£ 2.Q 00I . qAJ 1.I . 1 (2-3Co
RESIDENT ENGIZEER IUQM: t nRCNE 4: ( )
PROTECT DESCRIPTION:
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CONTRACT START DATE: , % , 1 O'er CONTRACTCOMPLETION DATE: 3 G2 11132/0 2
TYPE OF PAVEMENT: ROADSAY: SIDEWiIR:
TYPE OF PENT(S) REQUESTED (Check All Applicable):
D3.11-t967OR INSTALLATION-SEig1L D126-TEST PITS, CORES OR HOPZNG CRAM/SHOOEI. ON STREET
0112-RAPID TRANSIT CONSTRIICTION 01.32-INSTALS, YTR D205-PLACE SHART'/TRAfl ON
0113-REPAIR SaiTM D135-Pn L RESTORATION T
0114-REPAIR SEER 0136-DEB- 9..7OR INSTALLATIONS- 0208-TEIEORARY PEDESTRIAN RUE
0115-REPAIR SULTFR/SRSER .-1'lER 0211- AARY TA Y CLOSING
0116-FUEL OIL LU 0137-D P-291JOR INSTAL AT*ONS- 0214-PLACE CONTAI3MR CRT STREET
0118-BESET.REPAIR OR REPf.A 215-TEIEORARY SILK SRIG
CUBE 0201-PLAM IMM IAL ON STREET 0401- REPAIR SRDERAI.K
Di19-PAVE STREET 0202-CROSSING SIDERALK 0402-CONSTRUCT PEW SIDSP LK
0120-TREE PIT 0203-PLACE CRANE/SHOVE[. ON D403-REPLACE SWE .LK
0121-CONSTRUCT OR ALTER MANHOLE STREET VENTI S
AND/OR CASTING 19204-PLACE EQULF!lf2TT OTHER TSAR
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OOHS APPROVAL BY: DATE: LOCATIONS ON REVERSE
TBE PE) = TO BE ON BLED JEC: TO THE FOLLORING OOL®ITIONS:
TBY APPLICANT ALBtEES TO T WITS ALL TARS A) E.ES OF TE DEPAttS WM AND OTHER APPLICABLE LAPS Alm RC .ES.
NO B T SHALL BE ISSUED DNL.ESS TEE APPLICANT BAS ON PILE ALL INSDRANCE(HONDS). ,.
APPROVED FOR THE CC SSICNER BY: SUET BY: W `I C D E 9 AC? DATE : !! K IO
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DATE: SIGNED BY:PIAAI~419 IFS,_ k (7 1 J_ - 3 (-S~ -
ORIZID rOE OF APPLICANT'
NYC-WTC 000111663
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