NYC Law Department release
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Document / 3 pages

Fax transmission journal, Oct 1 2002

Machine-extracted title · confidence 100%

Automated fax transmission log confirming successful delivery of documents to DEP on October 1, 2002.

NYC-WTC_000111737–000111739

Folder label: “NO LICENSE AGREEMENTS

Page image
Scanned page image, NYC-WTC_000111739
OCR text

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NYC 9/11 Public Portal Document

ewY«kky APPLIC.A170N FOR CONTRACT PERMIT B (Tt:p I M . • ■ o(Patmlt Maaaambst and Comaaa8m CaBtM )Si (FR.B-BS)5 T

PEP C (I I: I 'L. I f L)

3OOMM: ON OB OQ OX OS ChEC OBNEC OQEC OB,C OREC OCMC SPONSORIII6 ACaERCT:• DEP ODDC ODOT DNysDEc Ogzssoc Oan DPAms OsOR Orr= OPA of arao PROJECT wm: -R . RA DHAKQ,-%iAt1s..►'P E TELEMOM s: ('71g) ;CM -1j NAM OF CONTRACTOR: doamin Kt rz k r% son Con+r4mEPgoNE #: (1(s) 5% —goo BUsXIEss ADDRESS: I2.lQ . . f .i f M2I

S: ( ) PROJECT DESCRIPTION: I CONTRACT START nx!L2: e1 QP CONTRACT ODlVLETION DATE: TYPE OF PAVEl41lT: SEDEW\LK: TYPE OF P T CS) REQUESTED(Check AU A 1icahle): ❑111-N?►Jon 3UST3rr3_ION- £J126-TEST PITS, CORES OR DORIIiG 0112-RAPID TRANSIT OONS11tIICTIW 0132-INSTALL CRAM/SEOPEL ON STREET Fes' 0205-PLACE SBANTT/TAAI ro ON D113-REr4 WATER 0135-FINAL RESTATIOli 0114-REPAIR SE 0136-flNF-EO.JOR nTszkLLATIONs- ❑208-may PEDESTRLAN WZX 0115-REPAIIt WMWSERER Witt 0116-FOES. OIL LINE 0211-TEMPORARY RAADW.1 CLOSING 0137-DEP-ww,7oR 3NS7AZa=OUS- 0214-PLACE CONTAIIOm ON STREET 0118-RESET,REPAIR OR REPLACE SERER CORE ,215- 1 ORABy SID8WJ2 CLOsD 3 0201-PLACE LQiUrar3L ON S z j ❑401-REMUR SMDER 1LK 0119-PAVE STREET 0202-CROSSXl SID D.LK ❑402-CONSTRACT MW SIZD:WWILK ❑120-TREE PIT 0203-PLACE CRANE/SHOVEL ON 0403-M3TA SE1 LK ❑121-CONSTRUCT OR ALTER 2Q►NHOLE STREET Alm/OR CASTING VENTMATOES 204-PLACE E2UZftalT OIL THAN OTHER TYPE OF PERMIT:

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C 1IMM LOCATIONS ON REVERSE P c To BE oPTrrED SUBJECT TO TIE T POLIARING CONDITIONS: APPLICANT AoN S TO CpNFrt ALTS ALL LABS AND BOXES NO P T SWll BE ISSOID OIC,ESS TBE OF TSE DEPAAT)ffi rX AND OT88R APPLI l 2 LANs AND RG APPLICANT BAS ON FILE ALL INSDRANcE(BO DS) . 1S.

APPROVF9 FOR FEC CON SSIaNER By:

DATE: BY. ` TEL. N ( ' z

NYC-WTC 000111739

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NYC-WTC_000111739Source: NYC Law Department, mirrored locally

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