NYC 9/11 Public Portal Document
s ,ne.. Yea07 APPI.IC.4TION FOR CONTRACT PF.RJLIIT
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PROJECTmi : R. RA DHAKg?tSlr t t1.E HONE is ('111 i ) 545-371
NE OF C080RACTO:&1iamin K,r 6 r t ion Conk cm s: (1t ) 512900
Wsslsss ADDREss: 17y9 ~1 a1~L, &.,o.,....e "2..-.,lr►..-. ., j I w.
RESIDENT
PROJECT DESCRIPTii
CaSTR T IZL51 D1TE: 9112 )0
TYPE OF PAVElA7tr:
SZDER=
TYPE OF Pmam(S) REQOES_ (Check All
Afplicabie) :
OU1-lA.7OR 3XSTsraa•r CW- 0126-LEST PITS, OORFS OR ____ G CRANE/SHOVEL ON STREET
0112-RAPID TR3NSIT CONS11tDCTIOH 0132-INST1T.T.
FENM 02OS-PLACE SHANTR/TEAZI.nt ON
0113-REPAIR RATER 0135-FDD►L PASTORXIOR
0114-REPADR SERER 0136-DEP-XL7o xjts7zTajrrgpS-
Ol5-IPPAXR RATER/SERM 0208-TEIsoPAR2 pzDEsmPIAN =LR
RAM
D116-FUEL OIL LIIM
1QO1.1-T ORAR= ROADW►F CLOSfPG
0137-DEL-m►,7pRt ffit~rer A=(NS- 0214-PL10E OONTAZ R ON STREET
0118-RESET,REPA OR FXFJ M S13DR
CUBE ,~5-MMOMARY SZ1IE~TZ CLOSIIB;
0201-PLACE HXTM aT. OF STREET 0401-REPAMR SM)zRL 1C
0119-PAVE STREET 0202-ORossn smDERL.r
D120-TREE PIT 0402-OONSIItDCr HEW SZT 7iC
0203-PLACE CRANE/SHOVEL OR 0403-REPIAM SZDEiA71
0121-CONSTRt CT OR ALTER TDINHOIS STR~
AND/OR CASTING VENTILATORS
J204-PLACE ZOVZftgltT OTHER TSAN
OTHER TYPE OF PEFWT:•
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101 MAIDEN I..ANE PO,et- ST GOLD STREET 09~Qt IO2 1010/102
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OCIS APPROVAL 87
DATE oRE ZACa.TIONS ON REVERSE
i~ PLRlQ2 To BE QtAA stCT TO T9L FOLLORnIG O7aDIDITIORts:
TM APPLIqu7T Atae= TO 00!! 'LT RITE ALL
ZAPS AM I FS OF TM DEPA=Ma AND OT= APPLICABLE LAPS MW RObZS.
No PM= S®1LL SSE ISSDFL U1CRSS TBE
APPLICANT .S ON FILL ALL IPSDAAN CEONDS).
AP'PROVW FOP. THE CaoaSSIOt 8r: SDSlTZTTBD HY:Ny 11r.~ ,P DATE:g/ /0
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DATE: SIGIM B7 (, I . TEL. a
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NYC-WTC 000111797
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