HomeMy WebLinkAbout2025_PJA25-0072_Site Agreement i SNOHOMISH
COU NTY 444► Sales Site Agreement
HEALTH DEPOT-MENT
Facility name: , ,
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A Sales Site Agreement is required for each location a mobile unit will visit for more than 1 hour. The sales site
owner agrees to provide the mobile unit operator use of the services specified below. Changing or canceling this
agreement will result in closure of the mobile unit. This agreement is not transferable.
The following is available for use by the mobile unit operator:
Equipment/Service Yes No
Restroomaccess................................................................................... x
Restroom is within 500 feet of the mobile unit ....................................... "Minimum requirement
Restroom hand sink has hot and cold running water.............................
Restroom hand sink is stocked with soap and paper towel dispensers..
Potablewater.... .............................................................................❑
Wastewater disposal .............................................................................❑ ,
Garbagedisposal..................................................................................❑
Restroom access for customers at sales site location............................❑
Overnight storage of mobile unit............................................................❑
Use of restroom requires a key..............................................................❑
Electricityis provided........................................................... .................❑ "I�
Mobile Unit l I
Mobile Unit Name
Hours of Operation
O I own both the mobile unit and the sales site.
Sales Site
41
Sales Site Name
Sales Site Addressd�2
City V State _Zip_ q ZB Parcel Number 31 C S
Hours of Operation
-
Phone ��YJl/� & 7 - ('C22A
�}� Email Qa � - fir!
Sales Site Owner Name (please prim) e is �"� rune rl C/-
Sales Site Owner Signature
Date a�1242125
If you have more than 1 sales Ise, make additional copies of this agreement.
Environmental Health Division
3020 Rucker Avenue,Suite 104■ Everett,WA 98201-3900 ■fax:425.339.5254 0 tel:425.339.5250