HomeMy WebLinkAbout20260519_PJA26-0257_Site Agreement SNOHOMISH
COUNTY44Q Sales Site Agreement
HEALTH DEPARTMENT
Facility name: Af cczon
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...................................................................................�
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 ........................................................................................❑ L�
Wastewaterdisposal .............................................................................❑
Garbagedisposal ..................................................................................❑
Restroom access for customers at sales site location............................❑
Overnight storage of mobile unit............................................................El Use of restroom Ell"
/requires a key..............................................................❑
Electricityis provided.............................................................................❑
Mobile Unit
Mobile Unit Name
Hours of Operation 1
❑ I own both the mobile unit and the sales site.
Sales Site
Sales Site Name ma-zO
Sales Site Address �VZo 07 -nd 5l N E
City 6 Y_ ��I�l�' w State �_Zip Z Parcel Number -i 2 300(o r-1 ILO
Hours of Operation r�`1
Phone J-1- y 12 Email 6 I>^, c3r1rncL7—on , Cory?
2 Sales Site Owner Name (please f t) Q I 1 j'1 t?1'll v i
Sales Site Owner Signature ` Date
J/1 C/ 2J,
If you have more than 1 sales te, make additional copies of this agreement.
Environmental Health Division
3020 Rucker Avenue, Suite 104 0 Everett, WA 98201-3900 0 fax: 425.339.5254 ■ tel: 425.339.5250