DEP transmission log, Contract Inspector, Nov 7 2002

NYC 9/11 Public Portal Document

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PERMIT NUMBER: PE Qa7=E(TR O#: 12470 coNT1:Acr I: Roc - R M Z B0F=M: GB OQ Ox OS DENEC OQEC DB C OREC OCMC# Dc SPONSORING ). CT: EP DDDC DDOT DHTSLEC ONrS)1C DHPD OPARKS DSCA D OPA Of NTa<NT

PROTECT E MNEER R1HM: R. R H wl A t4 P. (.. TMZPRCM 4: (7I ' . ) 54 S - 3-7 ( S 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: -Kot\ GoL PSE Oa 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

OTMM TYPE OF PEM11T: Z~71R NOM am w S22= YRAS S22= 20 SIR= rj= smam E®

I $ /..MNBYe ANN STa.EcsT• 1ASSAQ STREET WILLIAM ST 11`09102 lull (02 e _~czc:saws:

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R•c I I I ITT_ • .1 H n:s~-soes:

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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

p P DATE: SIGNED BY:PIAAI~419 IFS,_ k (7 1 J_ - 3 (-S~ - ORIZID rOE OF APPLICANT'

NYC-WTC 000111663