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Document / 14 pages

Contract permit application form, Oct 2001

Machine-extracted title · confidence 95%

Application for street work permits including sewer installation and pavement repair at a World Trade Center site.

NYC-WTC_000111833–000111846

Folder label: “NO LICENSE AGREEMENTS

Page image
Scanned page image, NYC-WTC_000111833
OCR text

OCR status: ocr · source: ours

NYC 9/11 Public Portal Document : f APPLICATION FOR CONTRACT PERMIT >, o York City wih. : of Transportation - of Permit Management and Construction Control 7 srr @aaQR) FRONT {PERMIT NUMBER: a ct Pemrrrmee(myj #: 124TC ed 4 x La soroucs: Hm OB Oo Ox Os Cimec OBNEC Doec one bs SPONSORING AGENCY: Mipep [pre [Jpor Cherspec Cjuysenc [Je PROJECT ENGINEER waME: R RADWAKRISHNAN P.G. ot wT Mm Prfor. NAME OF CONTRACTOR: Benvaminm Kuez pen LSon Courtols OS BUSINESS ADDRESS:|24® Bacey Avenue PRocerya AI Ton RESIDENT ENGINEER NAME: q ns 4! t PROJECT DESCRIPTION: Dunit Exte BOR GLEartve ACTWAT 7 : . COLLAYVSE OF TO. CONTRACT START DATE: 5 {is foz CONTRACT COME ae ~be * ; STDEWALK: - — -.— A . TYPE OF PAVEMENT: ROADWAY: . TYPE OF PERMIT(S) REQUESTED (Check All Applicable): O111-MAJOR INSTALLATION-SEWER 11126-TEST PITS; CORES OR BORING ,,0112-RAPID TRANSIT CONSTRUCTION (1132"INSTALL FENCE CRANE/SHOVEL ON STREET 01205-PLACE SHANTY/TRAILER ON STREET a“ "(113-REPATR WATER” Ve 4 0135-FOMAL RESTORATION O114-REPAIR | SEWER + ‘ (€)136-DEP-MAJOR INSTALLATIONS- (0208-TEMPORARY PEDESTRIAN WALK O115-REPATR "WATER/ SEWER a w WATER (1211-TEMPORARY ROADWAY CLOSING O116- FUEL. OIL LINE F 0137-DEP-MAJOR INSTALLATIONS- (10214-PLACE CONTAINER ON STREET (0118-RESET, REPAIR OR REPLACE’ SEWER 01215-TEMPORARY SIDEWALK CLOSING CURB - (9201-PLACE MATERIAL ON STREET (10401-REPATR SIDEWALK 119-PAVE STREET ww 1202-CROSSING SIDEWALK (1402-CONSTRUCT NEW SIDEWALK O120-TREE PIT 1203-PLACE CRANE / SHOVEL on (0403-REPLACE SIDEWALK 0121-consTRUCT OR ALTER MANEOLE STREET VENTILATORS ,AND/OR CASTING a (0204-PLACE POULEMENT OTHER THAN OTHER TYPE OF PERMIT:, 3} fy . wo LIREAR WORK WORE ( O8 STREET ane FROM STREET To STREET TEer smart ESD Says ~~ . 14 WirciamS7 Ree cman Sx, ALN Vo aS ITRAFE IC . [STIPULATIONS : ‘ 4 TTRAFS IC ISS IPLIAS SONS: oa ce \. » fosrze 8 * ISS IPCLAS ONS ; : ' a TRAET IC ‘ ISSTFCIATZONS: 1 a FCRALTIC ISTIPIAAL IONS > j-RATT “= SPECIAL STIPOLATIONS : « OCMC APPROVAL BY: DATE: _| THE PERMIT TO BE GRANTED SUBJECT TO THE FOLLOWING CONDITIONS: THE APRLICANT AGREES TO COMPLY WITH ALL LAWS AND RULES OF THE DEPARTMENT AND OTHER APPLICABLE LAWS AND RULES. NO PERMIT SHALL BE ISSUED UNLESS THE APPLICANT HAS ON FILE ALL INSURANCE (BONDS) . [}More LOCATIONS ON REVERSE APPROVED FOR THE COMMISSIONER BY: SUBMITTED BY: DATE: SIGNED BY: AR A Jaw TEL.# ( ) ° DATE: NYC-WTC_000111833

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NYC-WTC_000111833Source: NYC Law Department, mirrored locally

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