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2. Are you the contractor?*

   1. Yes
   2. No
3. Are you the homeowner?*

   1. Yes
   2. No
4. Length of time the dumpster will be required:*
   -- Select One --30 Days - $501 Year - $100
6. Address where dumpster will be located*
8. Applicant's First Name*
9. Applicant's Last Name*
11. Applicant's Phone Number*
12. Applicant's Email Address
14. Business Name (Contractors Only)*
15. Business Phone Number*
17. Applicant's Street Address*
19. City*
20. State*
21. Zip*
23. Hauler Providing Dumpster
24. Hauler's Phone Number
26. 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
28. Online Payment
    Temporary Dumpster Permit

    Once online payment is complete, you need to return to this page and “submit” application.
Leave This Blank:


30. 1. Receive an email copy of this form.
31. Email address

    This field is not part of the form submission.

32. Submit

* indicates a required field