TA-W41337: Occupancy Permit Application - PDF4PRO 2026

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The document is an Occupancy Permit Application for the New York State Thruway Authority, outlining the process and requirements for applicants seeking permission to occupy or use Thruway property. It includes sections for applicant identification, facility details, insurance information, and a certification statement. The application must be completed with supporting documents and fees submitted to the appropriate Division Permit Coordinator.

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Click ‘Get Form’ to open the TA-W41337: Occupancy Permit Application in our editor.
Begin with Section I, where you will provide your Applicant Identification Information. Select your applicant type (Individual, Municipality, Utility, etc.) and fill in your name, address, email, and contact details.
Move to Section II to identify the facility. Check all applicable locations (Underground, Aerial, Surface) and provide details such as milepost boundaries and GPS coordinates if known.
In Section III, answer whether a SEQRA determination has been made. If yes, include supporting information.
Complete Section IV by providing insurance details if available. Ensure you have the necessary certificates ready for submission.
Finally, review Section V for the Applicant Affirmation/Certification. Sign and date the application before submitting it to the appropriate Thruway Authority Division Permit Coordinator.

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