NYC 9/11 Public Portal Document
s °r ulp—Yes kOty APPLI" ATN1N FOR CONTRACT PERMIT
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PERMIT NUMBER:
PERlIITTEE (IHlO s: •.. _ CONTMCT a RoF - nn z
BOamm: Os OQ OX OS DC DENEC OQEC OEX£C OPEC OCMCS
SPONSORING 2t CT: 3M ODDC Ooo'r Oxrsnpc ORTssoc OIL OPAR2M Osca Oesrr► OPA of NEe~r
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PROTECT M NAME: F. R/►DHAK,2k--14M 1 P.ct * #: (7l ) SQ3-3718
NAIM OF CONTRACTdR: BEt4 AM%N KuRI A JSON bMTRbL TE7Finam P: (- 71s )S3( -2- 700
BUSINESS ADDRESS: I1- 4 QP .PK AyEt ,ILLE 3Qo0Kt VIV I
RESIDENT GD ME: TELEPSOom •: C )
PROTECT DESCRIPTION:FA%L 1
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CONTRACT START DATE- S Jr5jo'~ CaR RT.CT CORPLNIOer DATE: 91( -2. /0 Z
TYPE OF PAVMEVT: ' RGADiW: SXDERRIS:
TYPE OF P T CS) REQUESTED (Check 7.11 Applicable):
❑111-2A3OR INSTALLAzzog-SE 0126-TEST PITS, CORPS OR HOPING CRANE /SHOVEL. O STREET
DU.2-RAPID TRANSIT CONSTRUCTICH 0132-MISTAIS, FENCE 0205-PLACE SHANTY/TRAIL. t ON
0113-REPAIR RATER 0135-FINAL RES1 ATION crovc r
0114-REPAIR SERER 0136-ffiP-tA.7oR IIISTlLLAT ORS- 0208-TEIN+ORARY PEDESTRIAN IM=
0115-REPAIR VOTER/SEi2ER - ►Tgl 0211-TEMEORARY ROADMX CSOSnIG
0116-FUEL OIL LITD 0137-DEP-ME3OR nISTA7.J.. IORS- 13214-PLACE CONTAINER CK STREET
0118-AESET,REpAIR OR PTer.A= e 0215-TEMEOWWX SI LK cios
CUBE 0201-PLACE mxTEPzAL OR STREET 0401- AM ST^ *•4
0119-PAVE STREET 0202-CROSSING SIDEGThLE 0402-CONSTRUCT NER SIDEiD2 C
0120-TREE PIT 0203-PLACE CRANE/SEOVEL OR 0403- IAM SIDFSuiLK
0121-CONSTRUCT OR ALTERlANHOLE STREET VENTU S
AND/OR CASTING 0204-PLACE EQUI1 T OTMR TEAK
OTHER TYPE OF PERMIT:
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oc~ APPROVAL HY DATE: LOCATIONS ON REVERSE
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TM "30= TO BE alCT TO THE rCXX.M1 a CoMn:co1¢s:
TSE APPLICANT ALitBPS TO COL@i7 RITE ALL LABS AND BELTS OF TM DEPA;aM= AND
OTBER APPLICABLE LAPS AND DTR.9G.
NO PHtl2T SHALL EE ISSQID CICESS THE APPLICANT sm ON TILE AL1. INSTANCE (ROBES).
APPROVED FOR THE CCRQffSSIORIER BY: SUBMITTED BY: DATE•
DATE: b Z7[ o2 SIGNED BY: / . L. ) 5x-
NYC-WTC 000111857
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