NYC Law Department release
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Document / 5 pages

Fax transmission journal, Oct 22 2002

Machine-extracted title · confidence 100%

Automated fax transmission log confirming successful delivery of documents to DEP on October 22, 2002.

NYC-WTC_000111671–000111675

Folder label: “NO LICENSE AGREEMENTS

Page image
Scanned page image, NYC-WTC_000111674
OCR text

OCR status: ocr · source: ours

NYC 9/11 Public Portal Document t oe er ae a eS od Se a we tn apere Ce ie recess SES Aa ee a Mtns OR tees # APPLICATION FOR CONTRACT PERMIT % Tivew York City 5st suit Mawaceren! we of Permit Manasement and Construction Control . 221 (REV.8-88) FRosT |PERMIT NUMBER: PERMITIEE (Imp #: 12 4“7O : comreact #: Ror - REMZ nrowa: Gv Cs Oo Ox Os Dmwec OCpnec Ooec OBKEc OREC OcMce SPONSORING AGENCY: (hore Cinoc Dipor Disysnec Dhvrvsenc [Jeep Clearrss (sca Chern Dipa of wren PROJECT ENGINEER mame: F RaprateisSHNAn @.¢ TELEPHONE #: (71S) S9S5-37'8 MAME OF contractor: BENS Amin KURZOAN i SON GNTROL TEIEPKE #:_ (7113) S3Bl-2900 BUSINESS ADDREss: |72 LPH Oke 2 RESIDENT ENGINEER MAME: : TELEPHONE #:_( ) PROJECT DESCRIPTION: BUALD nee EVTEQ De CLEAN vl ACTIVITIES To REMOVE pzEBRiS . S CoLlcaAeCse OF WT CONTRACT START DATE: & }i=5 / o>, cormeact comeretion nave: Qhmia 11/20/09 TYPE OF PAVEMENT: ‘ ROADWAY: SIDEWALK: TYPE OF PERMIT(S) REQUESTED (Check All Applicable): 0111-MAJOR INSTALLATION-SERER 126-TEST PITS, CORES OR BORING CRANE/SHOVEL ON STREET (112-RAPID TRANSIT CONSTRUCTION [1132-INSTALL FENCE (205-PLACE SHANTY/TRAILER OW 00113-REPAIR WATER (10135-FINAL RESTORATION STREET 0114-REPAIR SEWER 10136-DEP-MAJOR INSTALLATIONS- § 1208-TEMPORARY PEDESTRIAN WALK O115-REPAIR WATER/SEWER WATER 0213-TEMPORARY ROADWAY CLOSING 0116-FUEL OIL LINE (0137-DEP-MAJOR INSTALLATIONS- § 10214-PLACE CONTAINER ON STREET (0118-RESET, REPAIR OR REPLACE SEWER 1215-TEMPORARY SIDEWALK CLOSING CURB 11201-PLACE MATERIAL ON STREET 1401-REPAIR SIDERALK 10129-PAVE STREET 1202-CROSSING SIDEWALK (402-conSTRUCT NEW SIDEWALK 0120-TREE PIT 11203-PLACE CRANE/SHOVEL ON (1403-REPLACE SIDEWALK 9121-consTRUCT OR ALTER MANHOLE STREET a VENTILATORS AND/OR CASTING 11204-PLACE EQUIEMENT OTHER THAN OTHER TYPE OF PERMIT: TIREAR WORK woRE. OS STREET FROM STREET fo STREET rce= stant S7 Ann Sv [|W Ifa |" NOT (ELIAM Sa. Nassau $1 25 4 FRAFT2¢ , : IST IPCLAT IONS : PSRAES IC Sa ITPreds TOMS: pind a LPSLASSONS ; TRAST IC PSS TPCLASSONS = TTRAESI< PR LORS | pian i i SPECIAL STIPULATIONS: OCMC APPROVAL BY: DATE: [pore Locarrons ON REVERSE THE PERMIT TO BE GRANTED SUBJECT TO TEE FOLLOWING Comprrtons: THE APPLICANT AGREES TO COMPLY WITE ALL LAWS AND RULES OF THE DEPARTMENT AND OTHER APPLICABLE LAWS AND RULES. NO PERMIT SHALL RE ISSOED UNLESS THE APPLICANT HAS ON FILE ALL INSURANCE (BONDS) . APPROVED FOR THE COMMISSIONER BY: SUBMITTED BY: NING O€O DATE: 10 larloz DATE: SIGNED ~ Pare tmdedllie 248, 595-3653 AUTH ZED RE! AT OF APPLICANT NYC-WTC_000111674

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NYC-WTC_000111674Source: NYC Law Department, mirrored locally

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