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Health Department Form

King County temporary food establishment requirements.

Converted from the Seattle Wedding Show’s published PDF so it’s searchable and mobile-friendly. Original PDF

TEMPORARY EVENT BLANKET PERMIT FOOD VENDOR APPLICATION COMPLETE ALL SECTIONS, BOTH PAGES. TYPE OR PRINT LEGIBLY. TURN IN TO EVENT COORDINATOR. EVENT COORDINATOR MUST SUBMIT ALL VENDOR APPLICATIONS AT LEAST 14 DAYS PRIOR TO EVENT.

Event Coordinator Email: pam@weddingshow.com

Event Coordinator: Pam Jensen

Event Location: Seattle Convention Center-705 Pike StCity: Seattle Event Start Date: 1/23/27

Event End Date: 1/24/27

Phone: 425-744-6509

Start Hour: 10:00 am

2. Name of Booth:

ZIP: 98101

End Hour: 5:00 pm

Contact Person:

Email:

Phone:

3. Prep Kitchen. All advance food preparation, cooling, and storage must be done in an approved kitchen facility. Kitchen Name:

Kitchen Contact Person:

Address:

City:

Phone: ZIP:

Completing this application does not constitute approval to operate. Please submit your food vendor application and menu to the blanket event coordinator. The coordinator will submit all applications as a packet. Once the application is approved, no changes may be made without approval. Do not submit your individual application to Public Health.

Available in alternative format upon request S:\EHSHARE\TECHDATA\Food\Food Forms\2017 Food Forms

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Blanket Event Food Vendor Application

Event Name Seattle Wedding Show

Name of Booth

4. Food Preparation and Menu

Purchased raw or precooked?

Example: Hamburger

Raw

 Kitchen

 Kitchen

Kitchen:

 Event

 Event

Event: grill, 158°F

 Kitchen

 Kitchen

Kitchen:

 Event

 Event

Event:

 Kitchen

 Kitchen

Kitchen:

 Event

 Event

Event:

 Kitchen

 Kitchen

Kitchen:

 Event

 Event

Event:

 Kitchen

 Kitchen

Kitchen:

 Event

 Event

Event:

 Kitchen

 Kitchen

Kitchen:

 Event

 Event

Event:

 Kitchen

 Kitchen

Kitchen:

 Event

 Event

Event:

 Kitchen

 Kitchen

Kitchen:

 Event

 Event

Event:

Ice chest

Ice Chest

Grill

NOTE: Use a separate sheet of paper if all of your menu items do not fit onto this form. Temperatures to know: cold hold 41°F or below; hot hold 135°F or above; reheat for hot holding 165°F or above; final cook: eggs, fish, meat 145°F; ground meat 158°F; poultry 165°F S:\EHSHARE\TECHDATA\Food\Food Forms\2017 Food Forms

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