Asbestos disposal form, Fiber Control Inc., July 2002

NYC 9111 Public Portal Document

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New York City Department of Transportation

BOROUSH : MANHATTAN PERMIT # : 1402-2002197- 059 INSPECT DIST: 5 RECORDED 1 : NONE PREVIOUS # : NONE BUILDING OPERATION PERMIT PERMIT VALID FROM 07/16/2002 TO 08/31/2002

FEES IRON-REFUNDABLE): DIN REIS $**50.00 PERMIT TYPE 0215 PAVEMENT TYPE SIDEWALK TYPE CONCRETE ISSUE DATE 07/16/2002 TOTAL FEE $****50.00 FEE WAIVED PERMISSION HEREBY GRANTED TO: NAME : ACTION REMEDIATION CO INC LICENSE # 3 CONTACT NAME : ANTHONY COSTA PERMITTEE # : 11578 CIE : ( 516) 781 - 3000 CONTRACT # : ROF-REM ADDRESS : 3010 BURNS AVENUE WANTABH NY 11793 GENERAL CONTRACTOR TO OCCUPY THE SIDEWALK IN FRONT OF ROUSE # : 112 ON STREET : REAIE STREET FROM STREET : CHURCH STREET TO STREET : WEST BROAIAIAY

FOR THE PURPOSE OF : TEMPORARY SIDEWALK CLOSING BLDG EXTERIOR CLEANUP—DECONTAMINATION TRICK

*** SEE PAGE 2 FOR STIPULATIONS *** PERMIT ORIGINALLY PRINTED ON 07116/2002 AT 14:25 BY CANDANCE CAVARRETTA PERMIT OFF VASE IOF 2

Ill PERMITTEES SHALL COMPLY WITH ALL APPLICABLE LAWS, hi RULES AND SPECIFICATIONS OF THE NEW YORK CITY COMM/SStONER ill DEPARTMENT OF TRANSPORTATION AND WITH THE TERMS ill AND CONDITIONS OF THE PERMIT. FAILURE TO COMPLY ill MAY RESULT IN REVOCATION OF THE PERMIT BY THE COM- MISSIONER. PER

NYC-WTC 000114800