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TOWN OF MANSFIELD, 50 WEST ST., MANSFIELD 02048
SVJIlVI IING POOL APPLICATION
r
40
Owner"s Name: Motel 6
Telephone: 508-339-2323
Address: 14651 Dallas Pkwy. #500 214-702-6882
Stat : TX Dallas g DEC 17
Zip: 75240-8897
Location: 60 Forbes Blvd.
Loctn address: Mansfield, MA 02048
Type/pool: Concrete, In -ground
Length: 40'
Width: 20'
Volume: 35,OOOg
Min/N4ax depth:
Swim area: 800sf
Dive area: none
Water source: Town
W/W Disposal: Town Sewer
Type of finish: Gunite
Scum gutter: None
Deck type: None
Skmmr weir lgth: Two baskets
Treatment systm: Diatomaceous
Disinfct method: Automatic Chlorine
Chemical trtmnt: Manually as required
Remarks: Per daily testing pool maintained.
Permit No: 12
Fee: 75
Please review information, make any applicable changes and return to BOH office at
above address with check payable to town of Mansfield, $75.00. Permit expires
December 31 st yearly. Thank you.
Signed Date