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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_000111868
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NYC 9/11 Public Portal Document APPLICATION FOR CONTRACT PERMIT =i of Perztt Ma eaceanont and Comstractian Control ; Ml (ReV.8-98)FRONT |PERMIT NUMBER: | PERMITTEE (TEM #: (1% 15 , coympact #:_ “ROE -Rem | BorcucH: im Oe Oo Ox Os Cmec CIBNEC OoEc OBXEC DIREC ocmce SPONSORING AGENCY: ose Cone Cnor Crrsnec Lhrsene [Je Ciranns Cisca Che La of mrss PROJECT ENGINEER NAME: [, RAdHAKRISHNAN BE wereenone @: (7 | - g wave oF comrractor: Action “Remediation Inc iFiber conttterzpncee #:_( = 3000 BUsINEss appress:_ 4010 “Burns Avenue / Wantaqh NY 11793 RESIDENT ENGINEER NAME: : TELEPHONE #:_( ) PROJECT DESCRIPTION: CONTRACT START DATE: is lop CONTRACT COMPIETION DATE: Alizlo2 TYPE OF PAVEMENT: ROADWAY: SIDEWALK: TYPE OF PERMIT(S) REQUESTED (Check All Applicable) : O111-MAJOR INSTALLATION-SEWER (J126-TEsT PITS, CORES OR BORING CRANE/SHOVEL ON STREET O112-RAPID TRANSIT CONSTRUCTION [132-INSTALL FENCE O120S-PLACE SHANTY/TRAILER on O113-REPAIR WATER 00135-FINAL RESTORATION STREET (1114-REPAIR SERER 0136-DEP-MAJOR INSTALLATIONS- 01208-TEMPORARY PEDESTRIAN WALK O115-REPAIR WATER/SERER RATER 01211-TEMPORARY ROADWAY CLOSING (116-FUEL OIL LINE 01137-DEP-MAJOR INSTALLATIONS- 01214~PLACE CONTAINER ON STREET 0)118-RESET,REPAIR OR REPLACE SEWER 01215-TEMPORARY SIDEWALK CLOSING CURB O201-PLACE MATERIAL ON STREET 1401-REPAIR SIDERALK O119-PAVE STREET (1202-CROSSING SIDEWALK (1402-CoNsYTRUCT NEW SIDEWALK 0120-TREE prr 01203-PLACE CRANE/SHOVEL ON 01403-REPLACE SIDEWALK 0121-CoNSTRUCT OR ALTER MANHOLE STREET +! VENTILATORS AND/OR CASTING O1204-PLACE EQUIEMENT OTHER THAN OTHER TYPE OF PERMIT: on Free m0 IIREAR WORK = Y1 Murray St | West Broadway Church St STIPULATIONS : OCMC APPROVAL BY: DATE: [_}wore Locartons ON REVERSE THE PERMIT TO RE GRANTED SUBJECT TO THE FOLLOWING CONDITIONS: , NO FERATT SHALL BE ISSUED UNLESS THE APPLICANT HAS ON FILE ALL INSURANCE (BONDS) APPROVED FOR THE COMMISSIONER BY: SUBMITTED BY: DATE: DATE: SIGNED BY: R. Calh~—_ weer ahr NYC-WTC_000111868

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NYC-WTC_000111868Source: NYC Law Department, mirrored locally

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