Mobile/temporary Vendor Permit Application Page 2
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5New Orleans Fire Department
Mobile/Temporary Vendor Permit Application
D Annual Vendor Permit
Q Mardi Gras Vendor Permit
Applicant Information
Location:
Mame of Business:
Dates of Operation:
Hours of Operation:
Owner/Operator:
Address:
_______
City/State/Zip:
Telephone #:
Unit/Structure Information;
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Type:
!H Building
3 Self-Propelled
G 5th Wheel Tow
G Bumper Tow
G Other
Size: Length
Width
Height
Make:
Model:
Lie Plate #
VIN #
Is Vehicle Insurance Current? Yes / No
Is Vehicle Registration Current? Yes / No
Fuel Source and Appliance Information
'•'"
Will Propane (LPG) Tanks be used? Yes / No
If yes, how many?
What size Propane (LPG) Tanks will be used?
Will Generator be used? Yes / No
Is Cooking Hood System installed? Yes / No
What type(s) of fuel does appiiance(s) use?
G Electric
D Gas
What type(s) of appliance(s) will be used?
G Deep Fryer
G Griddle
G Stove
G Other (Describe)
Menu Items: (List all food items)
I hereby agree to abide by all requirements and ordinances as it relates to mobile/temporary food stands. I
understand that the enforcement authority may impose additional requirements. I have received a copy of the New
Orleans Fire Department Mobile/Temporary Food Vendor Procedures.
Signature:
Date:
_____
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Parent category: Business