Contract permit application for WTC debris cleanup, Aug 2002

NYC 9/11 Public Portal Document ) ~~,flkeR York CSd, A PPLICA 770W FOR CONTRACT PF RMrT orT:aasporulon t o[Pamit Msns~at tad C. auction Control tai (REV. 9S) FRONT

PERMIT NUMBER: \ 2- S- q PEMMTTEE (IFS #: CONTRACT # : O - (L £t 3 BOROUGH: ®M OB OQ OX OS DC OBNEC OQEC OBxEC OPEC OCMC# SPONSORING AGENCY: ®DEP ❑DDC ODOT ONYSDEC ❑NYSEDC Dm OPARKS DSc ❑MTA OPA of NYLN

PROJECT ENGII NAME: R ,~AU i1AKR\S" kAN P. % . TELEPHONE #: (7 (8) 5015 -?,-718 NAME OF CONTRACTOR: i R 1O A 5 C3 E S TO , rRcMO y A L CO R. P. TELEPHONE # ) C b 1 - LI 10 LJ

BUSINESS ADDRESS: 1y- 2O t2S T,ZE6T (J 01r`1T N'I. r COLLe-L-C- ~ RESIDENT ENGINEER NAME: TELEPHONE #: (

PROJECT DESCRIPTION: Lbiab 2 CLEAN L(P AFT, v

CONTRACT START DATE: (2` 2 -v CONTRACT COMPLETION DATE: 9 /2 5 /02. TYPE OF PAVEMENT: ROADV~LY: STTRG7ALK

TYPE OF P T {S) REQUESTED (Check Al]. Applicable) : D111-MAJOR INSTALLATION-SEEM 0126-TEST PITS, CORES OR BORING CRAM/SHOVEL ON STREET 0112-RAPID TRANSIT CONSTRUCTION 0132-INSTALS, FENCE 0205-PLACE SHANTY/TRAILER ON 0113-REPAIR Sal'~R ❑135-FINAL RESTORATION STREET 0114-REPAIR SEWER 0136-DEP-MAJOR IMNSTALL .iIONS- 0208-TEMPORARY PEDESTRIAN SALL.I( 0115-REPAIR SALTER/SEVR TaLTER D211-TEtdPORARY ROADcTAY CLOSING 0116-FUEL OIL LINE 0137-DER-HAaOR INSTATT-n'1 ONS- 0214-PLACE CONTAINER ON STREET 0118-RESET , REPAIR OR Rs PLACE SERER 0215-TF.tdPORARY SIDEWALK CLOSING I CURB 0201-PLACE ZATR'RIAL ON STREET 0401-REPAIR SIDEWALK 0119-PAVE STREET 0202-CROSSING SIDE WALK 0402-CONSTRUCT NEW SIDEWALK 0120-TREE PIT 0203-PLACE CRANE/SHOVEL ON 0403-REPLACE SIDEWAIJ( D121-CONSTRUCT OR ALTER MANHOLE STREET VENTILATORS AND/OR CASTING D204-PLACE EQUIPMENT OTHER THAN 1 OTHER TYPE OF PERMIT:

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SPE.CLIL STIrC1A=IONS:

OCMC APPROVAL BY: DATE: LIMMORE LOCATIONS ON REVERSE THE PERlaT TO BE GRANTED SOBJEC_' TO TEE FOLLOWING CONDITIONS: THE APPLICANT AGREES CO CO)SA.Y WITH ALL LAWS AND RULES OF TEE DEPARTHEIiT AND OTHER APPLICABLELAWS AND ROLES. NO PERMIT SHALL BE ISSUED UNLESS THE APPLICANT SAS ON FILE ALL INSURANCE(BONDS). -

APPROVED POP. THE COMMISSIONER BY: SUBMITTED BY: DATE:

DATE: SIGNED BY: 1t-GIJ .# ( ) AUTWOR:2ED REPRESENTATIVE OF APPLICANT

NYC-WTC 000111851