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Application for Permit for Tap, Plug, Wet …

The City of New York Department of Environmental Protection Application for Permit for Tap, Plug, Wet connection , repair /Relay of Water Service Line Please Print Applicant must be a Licensed Plumber Work Site Street Address: _____ Borough: _____ Block: _____ Lot(s): _____ City, State, Zip Code: _____ Tentative Lot(s): _____ Check One: ____ Tap ____ Wet connection ____ Plug ____ repair /Relay Service Line ____ Tap and Plug ____ Wet connection and Plug Name of Street on which Tap/Wet connection is to be Installed _____ (Circle One) (ST) (AVE) (RD) (DR) (OTHER) Tap or Wet connection to be Installed on North South East West side of the street.

The City of New York Department of Environmental Protection Application for Permit for Tap, Plug, Wet Connection, Repair/Relay of Water Service Line

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  Applications, Connection, Repair, Plugs, Permit, Application for permit for tap, Wet connection

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