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Property Owner Information

Owner Name *

Property Address * East Providence, RI

Zip Code *

Mailing Address same as Property Address? *

Yes

Mailing Address in the U.S.? *

Yes

Mailing Address *

Outside of U.S. - Include full address.

Mailing Address *

City *

State *

Zip Code *

Primary Phone Number *

INCLUDE AREA CODE.

Primary E-mail *

Swimming Pool Information

New Installation or Repair? *

New Installation

Repair

Date of New Installation or Repair *

Copy of Building Permit *

Files must be less than 10 MB.
Allowed file types: gif jpg jpeg png pdf.

Copy of Repair Reciept *

Files must be less than 10 MB.
Allowed file types: gif jpg jpeg png pdf.

Pool Size *

Capacity in Gallons * gallons

Owner Certification

1. *

I, the property owner as identified above, certify that the above information is accurate and is representative of the work done on my above referenced property. I understand that I will receive a one-time reduction in the sewer consumption charge up to $100.00.

2. *

I, the property owner as identified above, certify that emptied pool water will not be discharged into the sanitary sewer system.

Date *

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Swimming Pool Abatement Application