Transcription of Fixed Food Establishment Plan Review Application
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Fixed Food Establishment Plan Review Application
REV 12/2013. Fixed Food Establishment Plan Review Application Meets the Food Law requirement for a transmittal letter to be submitted with the plans. Establishment Name: _____. Address, City, Zip: _____. Establishment Phone: _____. Location Information: Between _____ & _____ street Prior Establishment Name: _____. Owner Food Service Equipment Supply Co. Name _____ Name _____. Address _____ Address _____. City, State _____ City, State_____. Zip _____ Phone # _____ Zip _____ Phone #_____. Fax # _____ E-Mail _____ Fax # _____ E-Mail _____. Architect General Contractor Name _____ Name _____. Address _____ Address _____. City, State _____ City, State _____. Zip _____ Phone # _____ Zip _____ Phone # _____. Fax # _____ E-Mail _____ Fax # _____ E-Mail _____. Which of the above will serve as the primary contact?_____. Which of the above should all correspondence be mailed to?_____. Proposed construction start date: _____ Proposed opening date: _____.
REV 12/2013 Meets the Food Law requirement for a transmittal letter to be submitted with the plans. Establishment Name: Address, City, Zip: Establishment Phone:
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