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(1' SNOHOMISH <br /> HEALTH DISTRICT <br /> W W W.SNOHo.oRG Plan Review Questionnaire <br /> Facility Name: t)v Ot-114 <br /> 1. Provide a description (the scope) of your project. <br /> Our restroau-o r t is c vn1 -rice SeiLI poke. Ex vj j . SAL Pxurr►+�� , <br /> 2. How many meals do you anticipate serving per day? 2 Vvl (S <br /> 3. How many times per week do you anticipate delivery of food? 2- T; <br /> 4. How many times per week do you anticipate delivery of dry goods? <br /> 5. ❑ Yes Q''No Will you offer catering? If yes, complete the catering questionnaire. <br /> 6. ❑ Yes ca-No Will you offer off-site food delivery? <br /> 7. ❑ Yes @iNo Will alcoholic beverages be served? (include on menu) <br /> 8. ®'Yes ❑ No Is there customer seating inside the facility? <br /> How many seats are in the facility, including the bar and lounge? <br /> 9. ❑ Yes ®'No Is there customer seating outside the facility? How many seats are outside? <br /> 10. C 'Yes ❑ No ❑ N/A If you have customer seating, is your restroom accessible to customers without <br /> passing through food preparation, food storage and/or scullery areas? <br /> 11. ❑ Yes 1114No Do you have to go outside to access any walk-in refrigeration/freezers, food storage, <br /> equipment, and cooking or preparation areas?All locations must be clearly marked on floor plans. <br /> 12. Where will chemicals such as cleaning products be stored? ASI chevya s <br /> aeaihTyli p I c t e- ave-e- cLoyec on --t4 5 ke4 142/44.1, <br /> i s above -F440 ct 4l w s; i k . <br /> 13. Where will employee belongings be stored? 244171,01e€, 10' €.1>r1s <br /> J <br /> owe, feet UMc ? ' Ca-41"z.er f,ejy <br /> Environmental Health Division <br /> 3020 Rucker Avenue, Suite 104 ■ Everett, WA 98201-3900 ■ fax:425.339.5254 ■ tel:425.339.5250 6c2-) <br />