HomeMy WebLinkAboutLicenses TOWN OF YARMOUTH
BOARD OF HEALTH
PERMIT TO OPERATE A FOOD ESTABLISHMENT
PERMIT NUMBER: #14-118 FEE: $85.00
In accordance with regulations promulgated under authority of Chapter 94, Section 305A and Chapter
111, Section 5 of the General Laws, a permit is hereby ganted to:
KC Pizza Inc., 23T White's Path, South Yarmouth, MA
Whose place of business is: Domino's Pizza
Type of business: Food Service
To operate a food establishment in: Town of Yarmouth
Permit expires: December 31 2014 BOARD OF HEALTH: J RftlyAG 17Aft�ftACuBEj��K�XHtpJt
SEATING: O ,�E[QQpX(�✓�ftp � ,l{'1.,�,� �[CQ
aEs ratcr�oNs: 1. No fryers. 2. No dishwasher machine. .�axt��xaig.,��enPt
3. No clothes washer machine. 4.No seats-talce out only. �.rz J�. .`f�
5. No stove-pizza oven only. 6. Single service/paper items only. �iaxeeo J.
7. Sepazate water meter, for this unit 23T required.
8. All pizza ingredients aze to be obtained as precooked.
9. Mas�mum daily water usage not to exceed 263 gpd;
A monthly log rs to be mamtained with a yeazly report
submitted to the Health Departrnent with permit application. Bruce G. Murphy, , R.S., CHO
Januarv 13, 2014
Director of Health