8/5/1997 FIRE STATION BUILDING COMMITTEE Minutes

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i REV MO APPLICATION to DESIGNER SELECTION COMMITTEE CITWT V N PLEASE SUBMIT�OOPIBS OF THIS FORM(IT MAY BE REPRODUCED) 1.PROJECT DESCRIPTION: TITLE: LOCATION: .NAME OF FIRM: TYPE OF ORGANIZATION: (or Joint Venture) (Proprieta rship,Partnership,Corporation,et ,) YEAR ESTABLISHED: ADDRESS: FEDERAL I.D. NC: LOC T N OF PRINCIPAL OFFICE 1F OUT of STATE: Check here if your firm is a SOMBA certified minority (MBE) or SOMBAwomen-owned business nterpri ( B ) .NAME AND TITLE OF PRINCIPAL TO CONTACT: PHONE NUMBER: a. KEY PERSONS, SPECIALISTS AND INDIVIDUALS IN YO UR FIRM TO BE ASSIGNED TO THIS PROJECT: Indicate Project Manager with an asterisk. Include a one page re ume'of each member of your staff to be assigned to this project. NAME AND TITLE MASS. REG. No. DISCIPLINE/PROJECT ROLE Architectural, Structural, Mechani ani, Electrical 1 Pdncipai in charge, Project Manager, Project Designer., 4b. KEY P E RS ON S,SPE iALISTS AND INDIVIDUALS IN CONSULTAi T FIRMS TO BE ASSIGNED TO TIT PROJECT: NAME OF PERSON/FIRM NAME)ADDRESS MASS. REG, NC. DISCIPLINE/PROJECT ROLE . FULL TIME PERSONNEL IN YOUR FIRM'S MASSACHUSETTS OFFICE BY DISCIPLINE:(Average number employed throughout the preceding 6 month period. Indicate berth the total number in each discipline, and within brackets,the total number holding Massachusetts registrations.) Soils Engineering Administration Fire Protection Engineering � SpWi ation Writing Archkectur H.V.A.0 Engineering Structural Engineering Acoustical Engineering interior Designing Surveying L�. Civil EngineeringLandscape Archtectur � Traffic Engineering Ecology Life Safety Code Specialist � � Drafting �.._ Electrical Engineering Mechanical Engineering � CAD Operators Energy Specialists Planning � Other nrrVonment l Engineering Sandary Engineering TOTAL PERSONNEL 1