TEMPORARY FOOD ESTABLISHMENT PERMIT APPLICATION

CODE ENFORCEMENT

REQUIREMENTS

A fee of $75.00 will be charged. Establishment not to operate more than 7 consecutive days. Establishments that are for charity, church or public welfare are exempt from fee, but ARE subject to all other provisions. Permit is to be posted in view of customer.

BOOTH NAME *

START DATE & TIME OF OPERATION *

Date

Time

END DATE & TIME OF OPERATION *

Date

Time

NAME OF EVENT *

LOCATION OF EVENT *

Address Line 1

Address Line 2

City

State

Zip Code

CONTACT PERSON *

First

Last

CONTACT PERSON'S ADDRESS *

Address Line 1

Address Line 2

City

State

Zip Code

CONTACT PERSON'S PHONE *

FOOD ITEMS TO BE SERVED *

Only listed foods & beverages may be authorized.

PLACE OF PREPARATION *

No home preparation allowed.

EQUIPMENT USED TO MAINTAIN TEMPERATURES *

If needed.

MUST BE PRESENT TO OPEN FOR OPERATION

*Metal Stem Thermometer, *Invoices for purchase of foods from approved source, *Bleach, *Handwash facility - hand soap and paper towels, *Disposable gloves(can supplement with hand sanitizer-gel), * Hair Restraints, *Approved water source, *Floor covering (if required), *Utensil washing facility, * Proper wastewater disposal, * 3 Wash-Rinse-Sanitize bins * Overhead canopy/covering (where needed) * Fire extinguisher (Fire Dept Approved). ALL STAFF PREPARING FOOD ARE REQUIRED TO HAVE AN APPROVED CERTIFIED FOOD HANDLERS COURSE CERTIFICATE.

SIGNATURE *

Type your name as your signature.

REQUIRED SUMITTALS

Email required submittals to

*Required fields.

TEMPORARY FOOD ESTABLISHMENT PERMIT APPLICATION

REQUIREMENTS

MUST BE PRESENT TO OPEN FOR OPERATION

REQUIRED SUMITTALS

CONTACT MPTX

VISIT MAIN STREET

UPCOMING CALENDAR

CITY COUNCIL MEETING

Christmas Eve-Holiday