HomeMy WebLinkAboutLicense TOWN OF YARMOUTH
BOARD OF HEALTH
PERMIT TO OPERATE A FOOD ESTABLISHMENT
PERMIT NUMBER: #13-087 FEE: $85.00
In accordance with regulations promulgated under authority of Chapter 94, Sec[ion 305A and Chapter
11 l, Section 5 of the General Laws,a permit is hereby granted to:
KC Pizza Inc. 23T White's Path South Yannouth, MA
Whose place of business is: Dominds Pizza
Type of business: Food Service
To operate a food establishment in: Town of Yarmouth
Permit expires: December 31. 2013 BOARD OF HEALTH: J aeuyp 1�cr[�eta[tet �[pixntp,h
SEATING: O 9{;pp,,,,,����•�•' v�
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aESTxrcTioNs: I. No fryers. 2. No dishwasher machine. „����;;�,
3. No clothes washer machine. 4. No seats-take out only. �¢Q���t J,
5. No stove -pizza oven only. 6. Single service/paper items only. �a�t�eO J��
7. Separate watei meter, for this unit 23T required.
8. All pizza ingredients aze to be obtained as precooked.
9. MaYimum daily water usage not to exceed 263 gpd;
A monthly log is to be maintained with a yearly report ! �
submitted to the Health Department with permit application. Bruce G. Murphy, M H, R.S., CHO
December 12, 2012 Director of Health
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