Electric plan and/or lighting plan identifying lighting installments Interior room finish schedule Kitchen exhaust ventilation plans including drawings Hand sinks and toilet facilities with soap and towel provisions Warewashing facilities and food preparation sinks Restrooms/toilet facilities Storage rooms/areas for food Service sink/cleaning facilities Chemical storage area Employee storage area/change rooms OPERATION INFORMATION Type of Food Operation: _ Restaurant Retail Food Store Institution Mobile Caterer Temporary Commissary Other:__________________ Indicate any of the following highly susceptible populations that will be catered to or served: Day Care Center Other: Health Care Facility School with pre-school aged children or an population Assisted Living Center Hours of Operation and Maximum Meals to be Served: Hours Open close Sunday 11:00am 10:00pm Monday 11:00am 10:00pm Tuesday 11:00am 10:00pm Wednesday 11:00am 10:00pm Thursday 11:00am 10:00pm Friday 11:00am 10:00pm Saturday 11:00am 10:00pm Meals (provide Number Breakfast Lunch Dinner Other
Electric plan and/or lighting plan identifying lighting installments Interior room finish schedule Kitchen exhaust ventilation plans including drawings Hand sinks and toilet facilities with soap and towel provisions Warewashing facilities and food preparation sinks Restrooms/toilet facilities Storage rooms/areas for food Service sink/cleaning facilities Chemical storage area Employee storage area/change rooms OPERATION INFORMATION Type of Food Operation: _ Restaurant Institution Caterer Commissary Retail Food Store Mobile Temporary Other:__________________ Indicate any of the following highly susceptible populations that will be catered to or served: Day Care Center Health Care Facility School with pre-school aged children or an population Assisted Living Center Other: Hours of Operation and Maximum Meals to be Served: Hours Open close Sunday 11:00am 10:00pm Monday 11:00am 10:00pm Tuesday 11:00am 10:00pm Wednesday 11:00am 10:00pm Thursday 11:00am 10:00pm Friday 11:00am 10:00pm Saturday 11:00am 10:00pm Meals (provide Number Breakfast Lunch Dinner Other
Plan_review_application_for_food_establishments_FORM.docx