NYC 9/11 Public Portal Document
YlcQot7 APPLICATION FOR CONTRACT PERMIT
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PROJECT I2GZNEFR 1 : R. RADHAKa\SHmArl P.(A% . TEIEPHORE 4: (7I ) 45QS - 371 s
W. OF C0NENP.CTVR: BENSAM,,4 1Lu(LzBA-A SC)MQONTRDL TEIEPBOQEM •: (-11 8) Sa l - 2.4 Op
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RESIDENT EHGDNEER N2 : mcrEPE 1: ( >
PROJECT DESCRIDTIOQJ:
CONTRACT START DATE: CCUTRACT COIWLETION DTE:
TYPE OF PAVMGM: ' RO.DiWY: SLDE RLTZ.:
TYPE OFP£FaT(S) REQUESTED (Check A11 Applicable):
0111-2?+.7OR INSTATLATIONON-SSr'ER 0126-TEST PITS, CORES OR BOBENG CRANE/SHOVE. ON STRMT
D112-RAPID TRANSIT CONSTRUCTION c 132-fTSTALL FENCE 0205-PLACE SHA2TIE/TR,AIIER ON
0113-IMPAIR W&TER D135-FSNBL RESTORATION STREET
D114-REPAIR SLIER D136-DIP-MR ENSm smrORS- 02O8-TEl1PORARY PE DES IAN IMLIC
D115-REPAIR SLTER/szRER I LTER 0211-T ORARY RCAD14AY CLOSDTG
0116-FUEL OIL LINE D137-DEP-2A7OR DNSTALIATIOFS- 0214-PLACE CONTAfzER ON STREET
0118-RESET,REPAIR OR PXPIM c SEFDrR 0215-' QBARF SrnrW,LK CLOSIIIT
CURB C1201-PLACE EO~TcR. SAL ON STREET 0401-REPAIR SIDESiBLK
0119-PAVE SST 0202-CROssING SIDERALK 0402-CONSTRDCT 21EW SIDES
0120-TREE PIT 0203-PLACE CRANE/SHOVEL. OR 0403-DE LACE SI SMALK
0121-CONSTRUCT OR ALTER EtANHOIE STREETT VE2TTII.ATORS
AND/OR CASTING D204-PLACE EQVIPlONT OTHER THAN
OTHER TYPE OF P T:
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OCHC APPROVAL BT: DATE: E LOCATIONS ON REVERSE
?ES P T TO BE G9tANTED SUBJECT TO TEE FOLLOWING CONDITIONS:
TES APPLICANT AGREES TO COIMY WITS ALL LAWS AND R.UI2S OF TES DEPAFMaN AND OTRLR APPLICABLE LAPS AND S=ZS-
NO PERKY SNI#LL BE ISSUID UNLESS THE APPLICANT BAS ON FILE ALL INSURANCE(BONDS).
APPROVED FOR. THE CemusSIONER BY: SUBIU1 BY: N `l C DI F. P A CP DATE: / 23 0
DATE: SIGNED BY j( J1/~ l „~ _TEL.4 (7/8)595-3~57
AUTHO_AX EEPRZSENTA VE OF APPLICANT
NYC-WTC 000111668
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