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Bristol, TN

1. 

2. City of Bristol Tennessee

   Application for Mobile Food Vendor Permit

   Application for Mobile Food Vendor Permit

3. Application Received

4. Permit Number

5. Issued by

6. BUSINESS INFORMATION

7. Name of Business

8. Name of Mobile Food Unit (if different from above)

9. Phone

10. Email

11. Items to be sold

12. Website

13. Owner(s) of the Mobile Food Vending Unit

14. Address of the Owner(s)

    This address must be a certified address to ensure proper permitting. The address cannot be a P.O. Box.

15. Phone Number for the Owner(s)

16. Address where the contents of grease trap will be disposed

17. LICENSING & REGISTRATION

18. City Business License Number

19. County Business License Number

20. Tennessee Department of Health License Number

21. Mobile Food Vehicle License Plate (list state if not TN)

    Please attach copies of driver licenses of the persons who will be driving the Mobile Food Vending.

22. What is the weight of the Mobile Food Vending Unit?

    (If the weight is more than 26,000 lbs., a Commercial Driver's License is required.)

23. What is the length of the Mobile Food Vending Unit?

24. MOBILE FOOD VENDING UNIT (UNIT) EQUIPMENT

25. Will the Unit use a deep fryer or flat top for food preparation?

    1. Yes
    2. No

26. Will propane be used on the Unit?

    1. Yes
    2. No

27. Is the Unit equipped with a suppression system and K-Class fire extinguisher?

    1. Yes
    2. No

28. Is the Unit equipped with a Fire Extinguisher no less than a certified 2A:10B:C Rated?

    1. Yes
    2. No

29. Is the Unit equipped to use shore power?

    1. Yes
    2. No

30. CERTIFICATION

31. I certify that all information in this application and the required documents is accurate to the best of my knowledge. I understand that if any changes are made to the information included in this application, I should notify the City's Liaison immediately.

    tnapier@bristoltn.org (423-764-4023)

    tnapier@bristoltn.org (423-764-4023)

32. Date

33. Applicant Name

34. Applicant Signature

Leave This Blank:


35. 1. Receive an email copy of this form.
36. Email address

37. Submit Submit and Print

* indicates a required field