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Document / 4 pages

Fax permit application for exterior cleaning, Oct 2 2002

Machine-extracted title · confidence 100%

Fax requesting a permit for exterior cleaning at multiple locations requiring sidewalk closure and boom truck access dated October 2, 2002.

NYC-WTC_000111745–000111748

Folder label: “NO LICENSE AGREEMENTS

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Scanned page image, NYC-WTC_000111748
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ry oe ey NYC 9/11 Public Portal Document , ; | APPLICATION FOR CONTRACT PERMIT Mil (REV.8-$8) FRONT PERMITTER(IEM#: 12.4770 : ’ contract #: FRROF -Rem:-2 sorcuca: Mim Cp Oo Ox Os OCimec Opnec Coec OBxec OIREC OCMC# SPONSORING AGENCY: Mipee Cone Dpor Dyrspec Lhwrsenc [Japp Ciparrs [jsca Chea Lipa of pra PROJECT ENGINEER NAME: R. Ra DHAKRiSHNEN PE BR. Ra DHAKRISHNEN PE teers ¢: (US » SAS-32U% NAME OF CONTRACTOR: Benjamin Kurzhan @son Cont rszxoncre #:_(11B) S52\-2900 BUSINESS appress: 1248 Ralph Avenue , Brooklyn NUN LBS la, RESIDENT ENGINEER NAME: TELEPHONE #: ( ) PROJECT DEscRrPTION: Bus Id; H iviti TaN CONTRACT START DATE: ° oP? “ared CONTRACT COMPLETION DATE: [e) TYPE OF PAVEMENT: ROADWAY: STOEWALK: IYPE OF PERMIT(S) REQUESTED (Check All Applicable) : (11111-MAJOR INSTALLATION-SEWER 01126-TEsT PITS, CORES OR BORING CRANE/SHOVEL ON STREET 0112-RAPID TRANSIT CONSTRUCTION [0132-INSTALL FENCE (020S-PLACE SHANTY/TRAILER ON O113-REPAIR WATER ; 0135-FDINAL RESTORATION STREET (114-REPAIR SEWER 0136-DEP-MAJOR INSTALLATIONS- O208-TEMPORARY PEDESTRIAN WALK O115-REPATR WATER/SERER RATER (01211-TEMPORARY ROADWAY CLOSING O116-FUEL OIL LEE 0137-DEP-mMAJOR INSTALLATIONS- 01214-PLACE CONTAINER ON STREET (118-RESET,REPAIR OR REPLACE _ SEWER (1215-TEMPORARY SIDEWALK CLOSING CURB 01201-PLACE MATERIAL ON STREET 0401-REPAIR SIDEWALK 0119-PAVE STREET (1202-CROSSING SIDEWALK (9402-consTRUCT NEW SIDEWALK 0120-TREE PIT 01203-PLACE CRANE/SHOVEL ON 0403-REPLACE SIDEWALK 0121-CONSTRUCT OR ALTER MANHOLE STREET ~ VENTILATORS ; AND/OR CASTING W04-PLACE EQUIEMENT OTHER THAN OTHER TYPE OF PERMIT: Oe STREET FROM STREET 0 STREET Yerr stant 18 Sounm st. Brospwoay | MASSAU ST, 10 Slog Ay lor. TEVETIC PSTIPILASIONS : ZO Sean ot BRS aowey NASSAU St TRAET IC IST TPCLAS ONS: 22 Jeun St. BeRonadway Nassau Sr fTRASTIC ISS TPULATIONS : 24 Sonn St. | Baoadwar Nassau st {TRAET Ic ; ISTIPCLAS SONS: {URALTIC STIPOLASIONS | ith Fe THE PERT TO EE GRANTED SUBJECT TO THE FOLLOWING CONDITIONS: THE APPLICANT AGREES TO COMPLY WITE ALL LAWS AND RULES OF THE DEPARTMENT AND OTHER APPLICABLE LAWS AND RULES. RO PERMIT SHALL BE ISSUED UNLESS THE APPLICANT HAS ON FILE ALL INSURANCE (BONDS) . APPROVED FOR THE COMMISSIONER BY: suprrren ny: NYC DEP acP DATE: tol 2fo2, NYC-WTC_000111748

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NYC-WTC_000111748Source: NYC Law Department, mirrored locally

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