Transcription of PW1: Plan / Work Application - New York City
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PW1: Plan / Work Application . Orient and affix BIS. job number label here Must be typewritten. 1 Location Information Required for all applications. House No(s) Street Name Borough Block Lot BIN No. Work on Floor(s) Apt. / Condo No(s). 2 Applicant Information Required for all applications. Fax, mobile telephone and e-mail address are optional information. Last Name First Name Middle Initial Business Name Business Telephone Business Address Business Fax city State Zip Mobile Telephone E-Mail License Number Choose one: Sign Hanger Other: 3 Filing Representative Complete only if different from applicant specified in section 2.
If yes, 23D Distance from Arterial Highway: ft. Within 200’ and within view of a park 1/2 acre or more? If yes, 23E 23EDistance from Park 1/2 acre or more: ft. 23FIf answer is “yes” to either of the above two questions and this is an advertising sign, OAC sign number is required in section 23F 23G OAC Sign Number: OAC Registration Number:
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