HomeMy WebLinkAboutFLI-6-11-18750.TIF Booth sketch:
Draw the faod booth, identifying and describing all equipment, inc[uding handwash facilities, equipment
washing facilities, cooking equipment, refrigeration, worktables, storage, hot and cold holding units, water
source and storage. Describe the floor, wall and ceiling surfaces of the booth.
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All booths must comply with the requirements listed in l5A NCAC 18a .2635. A copy of this document is
available at http://www.deh.enr.state.nc.us/ehs/26.htm.
A brochure explaining the rules and requirements in detail is available on the Catawba County Environmental
Health website at http:Uwww.catawbacountync.�od/phealth/ehmain.as�. :Ct is available in English, Spanish and
Hmong.
This application must be completed and returned to the Catawba County Environmental Health Department no
less than one week before the date of the event. Vendors arriving at the festival without having submitted an
application will be inspected by the Environmental Health Division after all other vendors have been inspected
and permitted and this application has been completed. All vendors must comply with all applicable rules
before a permit will be issued.
Catawba County Public Health Department
Environmental Health Division
100-A Southwest Boulevard
P.O. Box 389
Newton, NC 28658
(828)465-8270
(828) 465-8276 (fax)
(828) 465-8200 (TDD)
��A C O� CATAWBA COUNTY, NC
�" 100-A South West Blvd
� '� Newton, N� 28658- PERMI T RECE/PT
� , ��� � Phone: (828)465-8399
� �i►� � Wednesday, June 8, 2011
1$ 4'Z sM www.catawbacount}mc.gov
Permit Number: FLI-6-11-18750 �nvoice Number: FLI-6-11-276184
Permit Type: Food & Lodging Institutions Receipt Number:
Work Class: 73 - Temporary Food Establishment
Site Address: 4 NW 2ND ST, Hickory, NC
APPLICANT OWNER
TED'S STREET FOOD TED COTHRAN
360 MASON RD
BOILING SPRINGS SC 29316-
(864)590-6101
FEES
FEE DESCRIPTION DATE FEE AMOUNT
Temnorarv Food Establishment Fee 06/08/2011 $75.00
TOTAL FEES $75.00
PAYMENTS
PAYER: TED K. COTHRAN
TED'S STREET FOODS
Date Payment Type Check Number Amount Change
06/08/2011 Check 6222 $75.00 $0.00
Memo:
Total Payment: $75.00
neru�it recci��t ; I ba8065a-( I b3-�128U-a90�-a241 bbb8d i fd',.rF�t 06/08/2011 11:39 Page 1 of 1