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THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
APPLICATION FOR A PERMIT TO OPERATE A SWIMMING POOL
Application is hereby made for a permit to operate a public, semi-public, or wading
pool.- This pool is to be operated according to the minimum standards for swimming
pools set forth in Article VI of the Sanitary Code of t Co onwealth Massachusetts.
�`�_cd
EL. NO. 7
TYPE OF POOL _L11 6, ro �i r.+ Y'� LENGTH WIDTH 7 VOLUME 5 • � �' d
SKETCH (A detail plan must be filed with original application)
SIZE: SWIMMING AREA/ NON SWIMMING AREA DIVING AREA
SOURCE OF WATER 6V41
DISPOSAL OF SEWAGE AND WASTE WATER
TYPE OF FINISH �`tn sem' __SCUM GUTTER
DECK: TYPE AND WIDTH SKIMMERS: WEIR LENGTH
TREATMENT SYSTEM
:ind of filters etc.
DISINFECTION METHOD (Method, type, capacity etc)
CHEMICAL TREATMENT (Feeders, capacity, quantity etc
REMARKS
DATE
(Permits expire on Dec. 31) $75.00 yearly/pool (508)261-7366
FORM 1707 HOBBS 6 WARREN. INC -