NYC 9/11 Public Portal Document
APPUC.ATTON FOR CONTRA CT PERMIT
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PERMIT NU R:
PERMTTTEE(IHt114: 1'2.4-70 CONTRACT I: RaP -Rgrn 2.
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SPONSORIIiG AGEPCr: ODc ODOR OHZSDEC ONTSEDC OHPD OPMM Osa► OHM OP1 of Bra6c
PROJECT IN nmm W. : Z! . RA D H A K2is t. b M -P. E TELEPHONE 1: (11g)
OP covxRwTOR: Berl iam i n Kurz 6A n c on Conk i pHONE s: (118) 5-1— 29 0 0
wsn~ss ADDRESS: 12422 RA1nk 4~,PY1t1P. ?1 ,rtoklun N.`I 11231.,
RESIDENT 1287n* R E01l0:: •:( )
PROJECT DESOLIPTION:
CONTRACT COHPZ TZON DATE: 1 Z
TIDE OF PAVMdM: ROEDiA2: sxD~a►ra
TTPE OF P (S) REQOESTED (Oaeck ALl Applicable):
0111-2?~3OR DIS LIA2700-SERM 0126-TEST PITS, CONES OR BORM CRANE/SHOVEL Off STREET
0112-RAPID TRANSIT CONSTROCTTOM D1.32-IImSTALL E lCE 0205-PLA E SHANTT/TRAflMR OF
0113-REPAXR iATER 0135-FINAL RFSTORATIOR STREET
0114-IMPAt SERER 0136-DEP-iAJCR 3vszuxJTXORS- 02O8- ORAT PEDESTRIAN 101LE
D115-REPAIR WAR/SERER --TER 0211- APP ROAoiAT a;AsaG
0116-FOIL OIL L mST11*I ZIOMS- 0214-PLACE OONTA.IIN;R ON STREET
0118-RESET,REP11Tt OR REPLACE SEIM 0215-TEARY SnE 1LK CLOSMGs
CURB 0201-PLACE MA IAL ON Sip 0401- AER SIDSa1LK
0119-PAVE STREET 0202-CROSSDB sTDERRLK 0402-CMSTROLT LOIA SIDESAX
0120-TREE PIT 0203-PLACE CRANE/SHOVEL ON 0403- *sC SIDF3a1K
0121-CONSTRUCT OR ALTER WMHOLE STREET • VENTIDAT~ORS
AND/OR CASTING 1W204-PLACE EQUIPlENT OTHER THAN
OTHER TIDE OF PCT:
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OCes APPROVAL Zr: DATE . ORE LOCATIONS ON REVF2i.,~'E
i- P T TO BE GRMRTED SUBTLC: TO TBE FOQ3. wim comITIORs:
TSZ APPLICANT 3U5 TO OOMMY WITS ALL LAPS AND RULTS OF TBE DEPART I AND OTHER APPLIC71BI.2 LAPS AND RULES.
P.O PM= SB.LL BE ISSUED UBLESS TBE APPLICANT BAS ON FILE ALL INSURANCE CBOIDS).
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APPROVED FOR THE COMMSSIONER Sr: S R2: MC D EP qCP
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DATE: sxc~rm sz~`'""'~ `•""~"~"'~C" TEL .k ( )
NYC-WTC 000111747
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