HomeMy WebLinkAbout20260612_PJA26-0253_Facilities Agreementr
SNOHOMISH
COUNTY
HEALTH DEPARTMENT Sales Site Agreement 2 L-N
Facility name: Q N, `1 c Vle
A Sales Site Agreement is quired 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 Ye No
Restroom access..................................... . .................
................. . ........
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 ........................................................................................❑ ❑ Nt>,
Wastewater disposal .............................................................................❑ ❑ NAC`
Garbagedisposal ..................................................................................0 ❑
Restroom access for customers at sales site location............................2 ❑
Overnight storage of mobile unit ............................................................
Use of restroom requires a key..............................................................V ❑
Electricity is provided.............................................................................❑ ❑ �IR
Mobile Unit
Mobile Unit Name
Hours of Operation
❑ I own both the mobile unit and the sales site.
Sales Site
Sales Site Name 1pez F?A 1I1-nrrn
Sales Site Address -2'32q Sk 6'� D 3
Pri,re n /�-
CityState o„� Zip Parcel Number 3 0y O O30IIW0
Hours of Operation
Phone �J Al 6, -7 7, Email I 0m
Sales Site Owner Name (please print) �J C H
Sales Site Owner Signature Date
If you have more than 1 sales site, make additional copies of this agreement.
Environmental Health Division
3020 Rucker Avenue, Suite 104 ■ Everett, WA 98201 -3900 0 fax: 425.339.5254 0 tel: 425.339.5250