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Get DE DNREC Water Supply Application for License

) Name of Applicant: (First) (Middle Name) (Last) Home Address: (City) Telephone #: (State) (County) (Zip) Birth Date: Indicate the type of license you are applying for:   WATER WELL CONTRACTOR Well Driller  Well Driller - Geotechnical  PUMP INSTALLER CONTRACTOR  Pump Installer  Well Driller - Dewatering 2. Have you ever been licensed in this state? Yes  No  IF YES, when and where: 3. Have you ever been denied a license in this or any other state? Yes  .

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