NYC 9/11 Public Portal Document
ewY«kky APPLIC.A170N FOR CONTRACT PERMIT
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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
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PROJECT DESCRIPTION: I
CONTRACT START nx!L2:
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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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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 ( '
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NYC-WTC 000111739
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