Temporary Food Establishment Permit Application

2. CITY OF MOUNT PLEASANT
   Fee of $50.00 not to operate more than 7 consecutive days, establishments that are for charity, church or public welfare are exempt from the fee but ARE subject to all other provisions. Permit is to be posted in view of comsumer.

   Fee of $50.00 not to operate more than 7 consecutive days, establishments that are for charity, church or public welfare are exempt from the fee but ARE subject to all other provisions. Permit is to be posted in view of comsumer.

4. Booth Name:*

6. Dates of Event:*

7. Times of Operation*

9. Name of Event*

10. Location of Event*

12. Responsible Person:*

13. Phone:*

15. Address*

17. City*

18. State

19. Zip

21. Food items to be Served(Only listed foods & beverages may be authorized)*

23. Place of Preparation( No Home preparation Allowed)*

25. If needed, what equipment will be used to maintain temperatures.*

27. The following Items must be present in order 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, *Fire extinguisher.

    *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, *Fire extinguisher.

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

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