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2. Business and Location Information
4. Business Name*
5. UBI Number*
7. Site Address*

   Please enter the address of the site at which your mobile food vendor will be parked. Note that mobile food vendors are only allowed in the shaded areas on the map below. If you are unsure, please contact us before submitting this form by emailing info@snohomishwa.gov. 

   Please note as well that mobile food vendors are only allowed at a given site for a total of six hours in a 24-hour period.

9. 
11. Please provide contact information for:
13. The mobile food vendor
15. Name*
17. Phone Number*
19. Alternate Phone Number
21. Email address*
23. The property owner
25. Name*
27. Phone Number*
29. Alternate Phone Number
31. Email address*
33. The adjacent business owner (if different than the property owner)
35. Name:
37. Phone Number
39. Alternate Phone Number
41. Email address
45. Operating Information
47. Will you be operating vehicles at more than one site within a 24-hour period?*
    -- Select One --YesNo
49. If so, will the sites be at least 2,000 feet away from each other?
    -- Select One --YesNo

    Please note that separate applications are required for mobile food vendors operating at different locations.

51. Please enter the setback between vehicle and all interior property lines and other buildings (in feet):*
53. Please enter the setback between vehicle and flammable, combustible liquid or gas storage and dispensing structures (in feet):*
55. Please enter the distance between vendor and nearest non-mobile food business (in feet):*
57. Will you be operating on private property?*
    -- Select One --YesNo
59. Will you be providing at least one trash receptacle for customer use?*
    -- Select One --YesNo
61. Please enter the mobile food vendor's operating hours:*

    As a reminder, mobile food vendors are only allowed at a given site for a total of six hours in a 24-hours period.

65. Required Documentation
67. Written and signed permission from property owner*
69. State of Washington vehicle registration*
71. State of Washington Department of Labor & Industries vehicle inspection approval*
73. Automobile liability insurance*
75. Valid drivers licenses for all operators*
77. Snohomish County Health District permit*
79. Wastewater disposal plan or copy of commissary documentation*
81. Site map*

    Please submit a site map with the following information:

    • Location of building entry
    • Location of proposed vending unit(s)
    • Location of available toilet and handwashing facilities (for vendors)
    • Existing site improvements
    • Ingress and egress locations
    • Location of at least two customer parking spaces (if on private property)
Leave This Blank:


85. 1. Receive an email copy of this form.
86. Email address

    This field is not part of the form submission.

87. Submit

* indicates a required field