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2. Applications must be submitted at least 5 business days prior to the date of the event.

4. Mobile Food Vehicle Name*
5. MFV Owner/Operator (first and last name)*
7. MFV Owner/Operator Phone Number*
8. MFV Owner/Operator Email*
10. Truck or Trailer Tag Number*
12. Address of Business (as listed on business license)*
14. Address of Business
16. City*
17. State*
18. ZIP Code*
20. Event Attending*
21. Date of Event*
    Date of Event
23. Event Street Address*
25. Event Street Address
27. City*
28. State*
29. ZIP Code*
31. EXTERIOR
33. Type of cooking fuel*

    1. LP gas
    2. CNG
    3. Electrical
    4. N/A
35. Mounting location of LP gas/CNG tanks

    1. Rear mounted
    2. Cabinet mounted
    3. Chassis mounted
    4. Other location
36. If "Other location," please specify.
38. Manufacture Date of LP Gas or CNG Tanks*
    Manufacture Date of LP Gas or CNG Tanks
39. Size of Tanks*
40. Number of Tanks*
42. Number of Cooking Fuel Tanks*
43. Type of Cooking Fuel Tanks*

    1. DOT tanks
    2. ASMET tanks
    3. N/A
45. WARNING LABELS
47. Shut-offs labeled for LP Gas/SNG with at least 2" reflective red lettering on white background?*

    1. Yes
    2. No
    3. N/A
48. NO SMOKING sign mounted near the transaction counter?*

    1. Yes
    2. No
50. GENERATOR
52. Generator powered by:

    1. Diesel
    2. Gasoline
    3. LP gas
    4. CNG
    5. N/A
53. Generator separated from nearby combustibles?*

    1. Yes
    2. No
    3. N/A
55. Mounting location (sector) of generator*

    1. Front
    2. Rear
    3. Compartment
    4. 25' away
    5. N/A
    6. Other
56. If "Other," please specify.
58. FABRIC AWNING(S)
60. If present, are fabric awnings fire rated?*

    1. Yes
    2. No
    3. N/A
62. INTERIOR
64. Type I vent-a-hood, exhaust fan(s) and an automatic suppression system is installed, should cooking produce grease laden vapors?*

    1. Yes
    2. No
    3. N/A
65. Vent-a-hood and duct worked cleaned to bare material?*

    1. Yes
    2. No
    3. N/A
67. Means of egress cleared of obstructions?*

    1. Yes
    2. No
68. Class K fire extinguisher has appropriate signage, serviced within one year of service date tag, and gauge indicates "full?"*

    1. Yes
    2. No
    3. N/A
70. At least a 2A10BC fire extinguisher that has been serviced within one year of service tag date and gauge indicates "full?"*

    1. Yes
    2. No
    3. N/A
71. A working carbon monoxide (CO) detector is mounted, per manufacturer's instructions?

    1. Yes
    2. No
    3. N/A
73. A working LP Gas alarm is installed within the vehicle in the vicinity of LP Gas system components, in accordance with manufacturer's instructions?*

    1. Yes
    2. No
75. FUEL GAS SYSTEM INSPECTION TAG
77. Annual LP Gas system inspection tag per IFC, Section 219.10.3?*

    1. Yes
    2. No
    3. N/A
78. 3-year CNG system inspection tag per IFC, Section 219.10.3?*

    1. Yes
    2. No
    3. N/A
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80. 1. Receive an email copy of this form.
81. Email address

    This field is not part of the form submission.

82. Submit

* indicates a required field