Transcription of PEMITTEE REQUEST TO WORK ON PROTECTED …
1 NYC Department of Transportation Bureau of Permit Management & Construction Control 55 Water Street, Concourse Level PEMITTEE REQUEST TO work ON PROTECTED STREETS (THIS SHEET MUST BE FAXED TO THE ASHO S OFFICE PRIOR TO PERMIT RELEASE) PERMITTEE: _____ LOCATION: _____ AGE OF PROTECTED STREET: _____ NATURE OF work : _____ SKETCH ATTACHED: YES NO DATE work SCHEDULED TO BEGIN _____ COMMENTS: _____ _____ PERMITTEE S SIGNATURE: _____ TELEPHONE NUMBER: _____ FAX NUMBER: _____ ASHO/DEPUTY ASHO PERMIT REVIEW.
2 RELEASE HOLD REJECTED _____ ASHO/DEPUTY ASHO SIGNATURE NOTE: Roadway Maintenance will respond to your REQUEST within 48 hours of receipt. Please refer to Section 2-11 (F) of the NYC Department of Transportation, Highway Rules.
3 If you have any questions please call the Borough ASHO Office listed below: The Bronx: (212) 748-6670, Fax Number (212) 839-1947 Brooklyn: (646) 892-1370, Fax Number (646) 892-1383 Manhattan: (212) 839-9863, Fax Number (212) 839-4222 Queens: (212) 839-2480, Fax Number (212) 839-2496 Staten Island: (212) 839-2405, Fax Number (212) 839-2402 Rev
