Fax transmission journal, Oct 15 2002

NYC 9/11 Public Portal Document

B pretaetCt?! teaKm APPLIC4770N FOR CONTRACT PERMIT WU e(Pak a Co .cdoe CaDo:ol O.1 (REP.8-9e) sir PERZaT NITER: PEB (33RD#: 12 470 coNm x #: R6F -1 m 2 Ba~mm-- M OB OQ Ox OS OMEC OBNEC OQEC DEC OREC OCMC# SPCKSORIN(' AGENCr: ODDc ODOT OursoEc ONrsmc 0n OP RBs Osc& OtszAA OPA of NYS PRtOJECT ENGD)~ER NAM: R.'RA DHAKu.si►.t.,~ -Q TEL E ?l ) NAH OF FACTOR: hiamir K ,rz lr. J n one 0m #: ('118) Sit— 2400 BUSINESS ADDRESS: 12L1 S2 Z1 %1 —L. A. . _. . _

RESIDENT INGI1 R NATO: #:( ) PROJECT DESCRIPTION:'P

CONTRACT START COQQTRACT COWLETTON DATE: L l//30 /02.. TYPE OF PAVEldNT: ROAD~r: TYPE OF PEN11T(S) REODUESTED (Check All cable) : Diu-79►JOR jNSTar.taTrCN_SM 0112-RAPID TRANSIT 0126- TEST PITS, CO S OR BORING CRAlRE/SHOVEL ON STM= CONSTRUCTION 0132-INSTALL. FENCE 0113-REPAIIt EATER 0205-PLAM SBA1T1'7/TRAP. ON 0135-FIIU►L RCN 0114-REpAIIt SEiZER 0l15-REPAIR 0136-LRP-m►JOR INSTAL TONS- 0208-may PED]ESTeraa WALK ./SERER. 0116-FUEL OIL LINE 0211-MMKOLVa Rpm 0137-DEP-!9►.TOR ZNSTALL TrCNS- CLOSI1 G 0118-RESET,REPAIR OR REPLACE 0214-PLACE CONNE ON STREET CURS SERER 0215-1 p y SIDERALK CLOSING 0201-PLACE MMMI L ON S-I T 0119-PAVE STREET 0401-REPALIt s33MRXLK 0202-CR055 SIDESALK 0 120-TREE PIT 0402-OONSIRIIG, ' NEW SED i cI2O3-PL /SgOVEI.ON 0403-IMP 0121-CONSTRucT OR ALTER N6NROLr SIN ATm/OR CASTING 0204-PLACE EQUItumT OTC THAN OTHER. TYPE OF PER T:

as ST T Mat s2RE= sue' 12 v.ei.

SPECUL STIP~,ATIONS:

C DATE: v MORE LOCATIONS ON REVERSE TBE PERt2T To BE TID 508Jl.C. TO TBE FOLLOWING CONDITIONS: TBY APPLICANT ASS TO Col T RITE ALL. NO PER!¢? SBALL BE ISSOED U .ESE ZAPS AM RB.ES OF TBE DEPARTMENT AMID OT TEE APPLICANT BAS ON FILE ALL APPLICABLE LAPS Atm ROLES. INSDPANCE(BOWDS). APPROVED FOR TIM C SSIONM 8Y: SUBlaTTED BY: N/ YC 2) p RCP DATE: /o /i /6

pp ~~ DATE: SIGNED BY: IC _ ~C. ~ TEL_# (718) S S - 72-

NYC-WTC 000111681