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Asbestos Removal Permit Application

  1. MM/DD/YYY

  2. Is facility occupied?*

  3. Type of Asbestos Activity to be Performed*

  4. MM/DD/YYYY

  5. MM/DD/YYYY

  6. COMPLETED MA DEP ASBESTOS NOTIFICATION FORM (ANF-001) MUST BE SUBMITTED BEFORE REMOVAL PERMIT CAN BE PROCESSED. Email copy of document to: healthdept@winchester.us or mail to: Health Dept, 71 Mt Vernon St, Winchester MA 01890

  7. Payment Options:

    Payment must be made before a permit will be issued. To pay online click below, or a check payable to "Town of Winchester" can be mailed to: Winchester Health Dept., 71 Mt. Vernon St, Winchester, MA 01890

  8. Leave This Blank:

  9. This field is not part of the form submission.