NYC 9/11 Public Portal Document
pia. Yorkaty APPLICATION FOR CONTRACT PERMIT
~ ~ ~iranapenaoas
~tPaat Mwle•ac aed CameatYipa CauiW .i (REV.8-98)J NT
P 1 (IIRp I: I Z 't. D CONTRACT #:
BOROUGH: ®M OS DQ Ox Os Dc DENEC OQEC DEXEC OREC OCMC#
SPONSORMG A T: flE ODDC ODOT QHYSDEC DNYSEDc DD OPARNS OsCA OhMA DPA of NYBiT
PROJECT fl1 mum; R. RI A DHAKV_._gf t4M 'v E TELEPHOIa: s: (Its ) -QS-3t11%
NAlE OF cMrnMcI Rt:&Yl iamin Kurz b n l0n Con+ #: (115) 5~%— 2 OC
BUSINESS AMORESS : 12 LI Q R-,1 -L La. I .n . t e Z1 .mown 1~) , ... w 1 'J 1
RESIDENT D INEER IOUM
•:( )
PROJECT DESCRIPTION:
CONTRACT START DATE: CONTRACT LETIOR DATE- g 1 2)02.
TYPE OF PAVMIM: ROADfaI: SXDERR
TYPE OF P T (5) REQUESTED (Check All Applicable):
0111-2QijOR fISTALTAZION-S t C3126-TEST PITS, CORES OR BORING CRANE/SHOVEL ON STREET
0112-RAPID TRANSIT CONSTRUCTION 0132-INSTALL
FENCE 02OS-PLUM SHANTY/T .AZLE.R ON
0113-REPAIR iATER 0135-FINAL R0:STGM=ON
0114-REPAIR SERER 0136-DEP-N1.TOR mSTALLA=OpS- 0208-TSIMPA x PRESTRIAN Sa1LE
0115-REPAIR /SEi~A M•~ 02U - ARP ROADWAZ CLOSING
0116-FUEL OIL LINE
0137-DEP-EOIJOR 2NsTA LArIO s- 0214-PLACE CONTAiRm ON STREET
0118-RESET,REPAZR OR REPLACE SERER
CURB Z215- oRAPx SID I.K cLosn G
0201-PLACE hoLIERzAL ON STREET 0401-REPAIIt SXD JLK
0119-PAVE STREET 0202-CRossnn SIDEWALK
0120-TREE PIT 0402-COPs r NEW SIDEWAXZ
0203-PLACE CRANE/SHOVEL ON ❑403-REPL SIDEWILIC
0121-CONSTRUCT OR ALTERlANHOLK STREET
AND/OR CASTING VENTILATORS
0(2O4-PLACE EQVTEl~NT OT TBAN
OTBER TIDE OF PEMUT:
ON STRUT PRQ( SST LZ>GR mRE am
J-Il &ot.a ST MR~t~g*4 CANE Pi-a-r-r STRE¢T j 8 119,k~-9 A2k72_
ID7Lt--TORS:
I
_ to
.LlOtJ~.OMS:
I HI
TIC
I I I I
.IPGTJG:OSS:
!TIC
IDQJCIORS:
•1 I .1 I
~TfC
I I
SPEQIL STZPOLATIORS:
OCl APPROVAL BY:
DATE: OMORE LOCATIONS ON REVERSE
TBE PLRHXT TO BE GRANTED SC.T_C? TO TIM
FOLLONTNG COMDXTIONS:
THE APPZIGNT MW4MS TO 00NSIS WITH ALL LAWS
AND RQLLS OF THE DEPARMM7 AND OTffit APPZICAMZ TARS
NO MHXT SHALL BE ZSSUFD =a= AND RULES.
THE APPLICANT BEE ON FILE ALL INSMAE .
APPROVED FOtt THE CONSSIONFR 8Y: CBONDS))
SUBlECTIm I:1J j (i {)e - .4-c\ DATE: c/ (i o
DATE: SIGNED B C'Ul/' '- TEL M ?F , a ~S - 6J 'l am
NYC-WTC 000111804
OCR can misread numbers and units. Confirm readings against the page image before using them.