HomeMy WebLinkAboutLicense - FS TOWN OF YARMOUTH
BOARD OF HEALTH
PERMIT TO OPERATE A FOOD ESTABLISHMENT
PERMIT NUMBER: #12-110 FEE: 85.00
In accordance with regulations promulgated under authority of Chapte�94,Section 305A and
Chapter 1 I 1, Secrion 5 of the General Laws,a permit is hereby granted to:
Jason Carvalho, 12-2 White's Path, South Yazmouth, MA
Whose piace of business is: Ba�els& Beynnd Exnress
Type of business: Food Service
To operate a food establishment in: Town of Yazmouth
Permit expires: December 31, 2012 soARD oF HEALTH:f�cian `.�8�ra8into«Sm�E, C'�' eurn
senr�c: o J 17augeeauP,tl�7�1iee/�@�l�F�a��tira►uut
RES7RIC"fIONS: See reverse side. .�',�I�U� �,�QQ�Ql�y ,l{7„1J.� 4f,GfR
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December 14.2011
ruce G. Murphy, M , .S. HO
Director of Health
1
*Restrictions:
(1)No fryers;
(2)No stove;
(3)No clothes washing machine;
(4 No seats -take out oniy;
(5; Single service/paper items only;
(6) Ma�nmum daily water usage not to exceed 120 g.p.d.; a weekly log is to be maintained with a yearly report
to be submitted to the Health Department on or before December 1 st of tlus yeaz. If the weekly water usage
exceeds 120 g.p.d., the Health Department must be notified immediately. If it is found the waterusage exceeds
the restriction,the Board of Health will review the violation when constdering the issuance of the following
yeaz's food service permit.