Temporary Event Health Permit Application

Temporary Event Health Permits are $150.00. Application fees will not be refunded. Inspections will be scheduled for approximately 30 minutes before the scheduled opening time. No product may be prepared or sold until inspection is complete and a permit is issued. If you need to move your event opening time or request an earlier inspection after completing this application, please call the Health Department at (816) 325-7803.

Application Type

Is this permit for a booth space that has been acquired from the Chamber of Commerce for Santa-Cali-Gon?

Please select the statement that best applies:

I am a non-profit organization

I am a business

Business License

Please enter your business license number. This must be a license for a residential or commercial contractor. If you do not have an active business license in the City of Independence, please click here to apply for one.

If you have a business license and don't know your business license number, click here to look up your business license and manually enter it below.

Applicant Information

Name

Address

City

State

ZIP Code

Phone

E-mail

Event Information

Vendor Name

Booth/Tent Number or location

Event Name

Event Start Date

Event End Date

Event Duration (number of hours)

Requested pre-opening Inspection Time

Event Address

Menu Information

Description of Food Service:

Concession Stand

Full Dinner

Sampling

Other

Other Description of Food Service

You must verify your business license above before continuing

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