Fillable Catering Food Permit Application (City of Stafford, TX)

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Catering Food Permit Application (City of Stafford, TX)

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The Catering Food Permit Application (City of Stafford, TX) form is 1 page long and contains:

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  • 3 check-boxes
  • 30 other fields

Country of origin: US
File type: PDF

U.S.A. forms for City of Stafford, TX

BROWSE CITY OF STAFFORD, TX (TX) FORMS

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CITY OF STAFFORD – CODE DIVISION
2702 South Main Street
Stafford, Texas 77477-5599
PHONE: (281) 261-3950
FAX: (281) 499-9744
EMAIL: consumerhealth@staffordtx.gov
CATERING FOOD ESTABLISHMENT PERMIT APPLICATION
Name of Catering Co.:
Base Establishment Name:
Owner of Catering Co.:
Email of Owner:
Base Establishment Address:
Mailing Address: (if different than above)
Telephone # Catering Co.:
Mobile # for Owner:
Person In Charge of Catering Event:
PIC- Cell #
Health Authority Name: (who you are permitted through)
Health Authority Address:
Phone # to Health Authority :
EVENT NAME:
DATE(S) and TIME OF EVENT:
LOCATION OF EVENT: (please ck one)
STAFFORD CENTRE (CASH RD) CIVIC CENTER (Staffordshire) OTHER: (LIST BELOW)
LOCATION OF OTHER:
Certified Food Protection Manager (required)
License #
Expiration
Issued By:
NOTE: The owner of the above business is responsible for knowing and adhering to all laws applicable to this operation. If this operation
fails to meet the requirements of those laws, enforcement up to and including closing of the operation and loss of the permit can occur.
Signature of Applicant:
Date:
FEES DUE UPON APROVAL
ALL applications must be submitted to the City of Stafford Health
Department no later than 15 days prior to use.
Annual Permit
$200.00
Accepted by:
Late Fee
$50.00
Approved by:
TOTAL DUE
Receipt number:
Date:
To make a secure payment online by credit card, please visit: https://certifiedpayments.net/index.aspx?BureauCode=4230396
Email completed application & payment receipt to: ar@staffordTX.gov & consumerhealth@staffordTX.gov
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Catering Food Permit Application (City of Stafford, TX)

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Completed 26 July 2020

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