Laserfiche WebLink
CHANGE OF OWNERSHIN INFORMATION: • • <br /> Dute of"I'ransfer of Ownership: <br /> Previous Name of L'stablishmeni: <br /> 1'revious Permit Holder or Owner: <br /> Prcvious Address(if applicablc): <br /> A ('URRrNT menu is rcauired to process your applicalion. <br /> CURRENT menu attnchcd: <br /> ❑YES <br /> ❑ NO <br /> A Mobilc Food Vchicic aud Food Stand Concession MUS1'submit thc following infonnation: <br /> ❑ Approved current (signed and datcd within ilic last 60 days) commissary agrecment <br /> ❑ Current food preparation steps <br /> ❑ Restroom agreemeut Ietter. Restrooms must be within 200 feet of llie food stand concession location <br /> and may not be a portuUle toilet. Restrooms must be available during all hours of operation. <br /> In addition, a Mobile Fond Vehicic requires the following: <br /> ❑ Mobilc ser��ice locution (whcre you clean, stock mobile wiit): <br /> ❑ Location of mobile unit ���hen not in operation: <br /> ❑ Pood storage location: -- <br /> ❑ Current ilinerar��(plcasc auach) <br /> ❑ Resiroom agreement Icttcr for all stops une (1) hour or grcater <br /> ❑ Sign on thc mobilc vehicle stating business namc, casily visible to customers during Uusiness operations <br /> ❑ All operntions must Uc contained on the vchicic and under covcr at all times <br /> To oblAin a nermit a Mobile Food Vehicle rcquires an annual insnection and sticker. <br /> Call your inspcctor at 425.339.5250 to schcdule an nppointment. 'fhc inspe�tion location <br /> is at Snaliomish Hcalth District, 3020 Rucker Avenue, Bverett. <br /> \ <br />