Portable Grill
Check method(s) used to keep cold food below 41°F:
Total # of Beverages Items
Method used to Wash Utensils
Address
Site of Preparation
Other, Please Explain
Method used to maintain Hot Food at 135°F or Above:
Generator
Dry Ice
Food Item Details
Open Flame
Method used to Wash Hands
City
ZIP
Propane
Total # of Products
Source of Water
Preparation Site Name
Are you participating in any events in Fanwood, Garwood, Mountainside, New Providence, Roselle Park, Cranford, Summit?
Source of Ice
State
If yes, indicate where
Prepration Site & Keeping food Details
Total # of All Items
Electrical Outlet Access
Total # of Food Items
Also, make sure that you have attached the following:
Did You Attach Copy of Food Handlers Training Certification(s)?
I hereby understand that if a seasonal permit is granted, I must comply with all applicable requirements of the New Providence Board of Health and the State of New Jersey. I further understand that such permit is non-transferable, non-refundable and is granted only for the period designated on the permit and may be revoked upon violation of any pertinent requirements of the New Providence Board of Health and/or the laws of the State of New Jersey.
Did You Attach Copy of your current Rating Placard?
Application Fee
Certification
| Permit Fee |
Fee |
| # of stands and/or trucks for the Street Fair |
$86 |
Amount due:
Please make sure that you have attached - All current Board of Health license(s) you hold in New Jersey.
I, understand that refrigeration or use of dry ice is required.
Did You Attach Commissary Agreement if you are utilizing a commercial Kitchen?
Required Documents
Did You Attach Copy of your local Sanitary Inspection Report?