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Mobile Food Vendor Pilot Program

  1. Mobile Food Vendor Pilot Program

    This permit is required for all mobile food vendors operating under the requirements of the City of Puyallup Mobile Food Vendor Pilot Program, in effect until October 31, 2020. You will be required to attach proof of Health Department Approval, Insurance (with CG 20 12), and Hood Suppression Inspection Tags.

  2. Applicant Information

  3. Business/Operator Information

  4. Site Owner Information - If Located on Private Property


    I hereby state that I am the applicant listed above and certify that all information contained above and in exhibits attached hereto is true and correct to the best of my knowledge and belief and is submitted for consideration by the City of Puyallup, pursuant to the provision of the Puyallup Municipal Code. It is understood that the processing of this application may require additional supporting evidence, data, or statements.

  6. Electronic Signature Agreement*

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

  7. Required Attachments

  8. Leave This Blank:

  9. This field is not part of the form submission.