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Document / 6 pages

Contract permit application for WTC debris cleanup, Aug 2002

Machine-extracted title · confidence 100%

Application form for a contract permit related to WTC debris cleanup operations at 18 Vesey Street with a start date in August 2002.

NYC-WTC_000111849–000111854

Folder label: “NO LICENSE AGREEMENTS

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NYC 9/11 Public Portal Document

A PPLI ATTON FOR CONTRA CT PERMIT ion COMM Sal K!>PP. 8-98) FRONT

Y)6y1 0 / CONTRACT #: .0 C- R e M 3

Dc ❑BNEC ❑QEC ❑EXEC ❑REC OCMC# fV - DOT ONYSDEC ❑NYSEDC DHPD ❑PARKS ❑ACA D ❑PA of NYLNJ

IS H ►4 A M P . C, . TELEPHONE f) : (l - 7 ((3 S 2 MDVAL Co RP. TELEPHONE $: ( l1 5R ) Gb 1 • 410()

~EET COI.~~ GL• l7 u~i.\t' N 'I 1 ' 35(0 TELEPHONE #: (

!oc C(.EANt,(P To 15 CROIUI ., O i — W'(C CONTRACT START DATE: Q (02. nn 51 2 CONTEZACT CONPIETION DATE: 7I2 5 02 TYPE OF PAVEMENT: ROADWAY- SIDEWALK

TM: OF PEP tT(S) REQUESTED (Check All Applicable) : D111-MAJOR INSTALLATION-51' 0126-TEST PITS, CORES OR BORING CRANE/SHOVEL ON STREET 0112-RAPID TRANSIT CONSTRUCTION 0132-INSTALS. FENCE ❑205-PLACE SHANTY/TRAILER ON ❑113-REPAIR WAFER D135-FIlAL RESTORATION STREET 0114-REPAIR SEW 0136-DEP-MAJOR INSTALLATIONS- 02O8-TElMORARY PEDESTRIAN STALK N0115-REPhIR iATER/S W 0211-TEMPORARY ROADWAY CLOSING 0116-FUEL OIL LINE 0137-DEP-2JOR INSTALLATIONS- 0214-PLACE CONTAINER ON STREET b118-RESET,REPAII2 OR RYT.ACE SLNMR ❑215-TEMPORARY STr+ETh.rx CLOSING CURB 0201-PLACE MATERIAL ON STREET 0401-REPAIR SIDEWALK 119-PAVE STREET 0202-CROSSING SIDEWALK 0402-CONSTRUCT NEW SIDEWALK 0120-TREE PIT 0203-PLACE CRANE/SHOVEL ON ❑403-REPLACE SIDEWALK '0121-CONSTRUCT OR ALTER MANHOLE STREET VENTILATORS AND/OR CASTING 0204-PLACE EQUIPMENT OTHER THAN OTHER TYPE OF PEMaT:

ON STREET FRIM STAFIT L R BORE WRN TO S T FEET START EM f

fA Na t ~1 \ Lbey TJL7IIONS:

7 S-TMVLAZ:o S:

R.f :OFS: S:IPEr.

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SPECIAL

OCE APPROVAL BY: DATE: ❑MORE LOCATIONS ON REVERSE TBM PERMIT TO BE GRANTED SUBJECT TO TEE FOLLO'AING ODNDITIOl(S: THE APPLICANT AGREES TO COMPLY WITH ALL LAMS AND RULES OF THE DEPARTMENm AND OTHER APPLICABLE,LAPS AND RULES, NO PERT SHALL BE ISSUED UNLESS THE APPLICANT HAS ON FILE ALL INSURANCE(BONDS).

APPROVED FOR THE CONHIISSIONER BY: SUBMITTED BY: DATE:

DATE: SIGNED BY: . 1 ' CL TEL. ff ft ( ) AG'TEORIZED REPRESENTATIVE OF APPLICANT

NYC-WTC 000111849

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NYC-WTC_000111849Source: NYC Law Department, mirrored locally

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