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Document / 6 pages

Fax transmission journal, Oct 9 2002

Machine-extracted title · confidence 100%

Automated fax transmission log confirming successful delivery of documents to DEP on October 9, 2002.

NYC-WTC_000111705–000111710

Folder label: “NO LICENSE AGREEMENTS

Page image
Scanned page image, NYC-WTC_000111709
OCR text

OCR status: ocr · source: ours

NYC 9/11 Public Portal Document x APPLICATION FOR CONTRACT PERMIT Rae eC Si poccettonnne and © Control 21 (REV.8-98) FRONT [PERMIT NUMBER: | PERMITTER(IEM#: | 2 470 contract #: ROF -Rem 2 sorouce: Mm OB Oo Ox Os Oimec OBNEC Oorc O8xXEc OREC OCMC# SPONSORING AGENCY: Miner Cope Cipor Cyerspec Chwysenc [Jeep Cipares Cisca Ciwra Lipa of wrens PROJECT ENGINEER NAME: —K. Ra DHAKa Sune PE _K. Ra DHAKRISHNEN PE TELEPHONE #:_(‘JIS ) SQS- 211 NAME OF CONTRACTOR: n Loni oe #: (11H) S2l—- 2900 BUSINESS ADDRESS: : RESIDENT ENGINEER NAME TELEPHONE #:_( ) PROJECT DESCRIPTION: Bu; Id} i ivicty ray ‘ olla of WTC CONTRACT START DATE: Pee laa CONTRACT COMPLETION DATE: Sobers. it] gzo0foz t a TYPE OF PAVEMENT: ROADWAY : SIDEWALK: . IYPE OF PERMIT(S) REQUESTED (Check All licable) : O111-MAJOR INSTALLATION-SEWER O126-TEST PITS, CORES OR BORING CRANE/SHOVEL ON STREET O112-RAPID TRANSIT CONSTRUCTION 1132-INSTALL FENCE 020S5-PLACE SHANTY/TRAILER ON (10113-REPAIR WATER 0135-FINAL RESTORATION STREET O114-REPAIR SEWER 0136-DEP-MAJOR INSTALLATIONS~ 0208-TEMPORARY PEDESTRIAN WALK (1115-REPAIR WATER/SEWER WATER 0211-TEMPORARY ROADWAY CLOSING 0116-FUEL OIL LINE 0137-DEP-mMAJOR INSTALLATIONS-~ 01214-PLACE CONTAINER ON STREET 0118-RESET,REPATR OR REPLACE _ SEWER 0215-TEMPORARY SIDEWALK CLOSING CURB 0201-PLACE MATERIAL ON STREET 0401-REPAIR SIDEWALK O119-PAVE STREET (3202-CROSSING SIDEWALK 0402-coNSTRUCT NEW SIDEWALK 0120-TREE PIT 0203-PLACE CRANE/ SHOVEL on 0403-REPLACE SIDEWALK 0121-consTRUCT OR ALTER MANHOLE STREET VENTILATORS AND/OR CASTING 0204-PrLace EQUIEMENT OTHER THAN OTHER TYPE OF PERMIT: ov srexs rent sears so sexes = Se 1D Golo st PLATZ STREET Maiclen Lavre_ 10]19 | tr) 19/eoda. TRAETZC ISTIPILATIONS : [2 PLraTT Steet) Goll Street Peavl Stret [1h 19 freola_ TRAST IC ISSIPULASIONS : TRASTIC IST IPULAS IONS : TRALEE IC ISTIECLASSONS: RAESIC ISTIPULAS IONS : ee + . sey SPECIAL srrecracrons.D SRE cr NEEDS Toa jE CLOSET) Ocuc APPROVAL BY: \_ DATE: [_}worz LOCATIONS ON REVERSE THE PERT TO BE GRANTED SUBJECT TO THE FOLLORING CONDITIONS. THE APPLICANT AGREES TO COMPLY WITH ALL LANS AND RULES OF THE DEPARTMENT AND OTHER APPLICARLE LAWS AND RULES. NO PERMIT SHALL BE ISSUED UNLESS THE APPLICANT HAS ON FILE ALL INSURANCE (BONDS) . 10/09 | 2002_ sunatmp sy: NYC DEP ACP DATE: SIGNED BY: Rk. Reh. Se A a APPROVED FOR THE COMMISSIONER BY: mex.# (7! ) S7S ~372 | DATE: NYC-WTC_000111709

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NYC-WTC_000111709Source: NYC Law Department, mirrored locally

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