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Document / 6 pages

Contract permit application for pavement work, Sept 2002

Machine-extracted title · confidence 100%

Application form requesting permits for road paving and construction activities with a contract completion date of September 2002.

NYC-WTC_000111865–000111870

Folder label: “NO LICENSE AGREEMENTS

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Scanned page image, NYC-WTC_000111867
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NYC 9/11 Public Portal Document APPLICATION FOR CONTRACT PERMIT PERRET NOMEER: 11 (REV.8-S8) FRONT PERMITTEE (rem #: 115) & Boroucr: fm Op Oo Dx Os Dmec Opnec Ooec Oexec OREC OCMC# conrract #: Bor - Rem) SPONSORING AGENCY: Bree Clone [Jpor Cheysnec [hyysepc [Jupp Clparss Cisca [hrra [pa of wrans PROJECT ENGINEER NAME: KASUNOAN PE. TELEPHONE #:_(1'(0)SG9S - 3718 NAME OF cowrRactoR: Nenon! REMeniATION IN | Fisee GaltZoLTEDEPHONE #: (516) 7981-3000 BUSINESS appRESS: 30\0 BuewsAvenue wWantasu val. W743 TELEPHONE #:_( ) RESIDENT ENGINEER NAME: PROJECT DESCRIPTION: BuIiLoin ExrgQio® Cre Ans v? ACTIVITIES To ReMove DeARQIS CRom Lo ee cS n CONTRACT staRT DATE: S1/1S/02. TYPE OF PAVEMENT: TYPE OF PERMIT(S) REQUESTED (Check All O1L1I-MAJOR INSTALLATION-SEWER (1112-RAPID TRANSIT CONSTRUCTION O113-REPAIR WATER 01114-REPAIR SEWER 0115-REPAIR WATER/SERER 0116-FUEL OIL LINE 1118-RESET,REPAIR OR REPLACE CURB 01119-PAVE STREET 0120-TREE PIT ROADWAY: CONTRACT COMPLETION DATE: Glizlo2 SIDEWALK: 0126-TEst PITs, 0137-DEP-MAJOR INSTALLATIONS- SEWER O132-INSTALL FENCE O135-FINAL RESTORATION 0136-DEP-MAJOR INSTALLATIONS- 00201-PLACE MATERTAL ON STREET 12202-CROSSING SIDEWALK (2203-PLACE CRANE/SHOVEL ON STREET oS licable) : CRANE/SHOVEL ON STREET (2205-PLACE SHANTY/TRAILER ON STREET 0208-TEMPORARY PEDESTRIAN WALK 1211~TEMPORARY ROADWAY CLOSING 0214-PLACE CONTAINER ON STREET 01215-TEMPORARY SIDEWALK CLOSING 0401-REPAIR SIDEWALK 0402-CONSTRUCT NEW SIDEWALK (1403-REPLACE SIDEWALK CORES OR BORING 0121-constroct OR ALTER MANHOLE . VENTILATORS AND/OR CASTING (1204-PLACE EQUIPMENT OTHER THAN OTHER TYPE OF PERMIT: os stRert FROM STREET zo STREET = stam = |44 CHAMBERS ST| West Broadway IGrernacn si |Z5 1 146 CHAMBERS St Wos\ Recor du Iereenvwida SH [2S I54 CHAMBERS Sr. x5 Cron ich St . TRAETIC Whos Py coad wast | TRAETIC ISTIPULALIONS : OCMC APPROVAL BY: DATE: - t THE PERMIT TO BE GRANTED SUBJECT TO THE FOLLOWING CONDITIONS: HO FORMED SEALS EE ISSUES Denese en ALL IAWS AND RULES OF THE DEPARTMENT AND OTHER APPLICABLE LAWS AND RULES. RO PERMIT SHALL BE ISSUED UNLESS THE APPLICANT HAS ON FILE ALL INSURANCE (BONDS) . . APPROVED FOR THE COMMISSIONER BY: DATE: NYC-WTC_000111867 SOBMITTED BY: SIGNED BY: R . Rall TEL.# ( AUTHORIZED REPRESENTATIVE OF APPLICANT

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NYC-WTC_000111867Source: NYC Law Department, mirrored locally

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