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HomeMy WebLinkAboutAPPLICATION - 05-00076 - Stone's Town & Country - Welding Torches~, . deg CITY RE:XBL,IR~ '~q~~~ AMERICA'S FAMILY COMMUNrrY °OPERATIONAL PERMIT" APPLICATION PERMIT #: $50.00 FEE PAID: YES/NO PERMIT APPROVED: YES/NO BY: -~" DATE: ~ " ~ ~ ~~ Owner Information: Parcel Number: Owner: .?~-VJ ~ A~~c~c.-.a.c~k~ Phone Number: -~~`~ ' Z~~ Owner Mailing Address: l I~ Z ~~~ ~'~~~ C-~b~aua 1 Property S~i,tivi~- Cell/Office Number: Business Name Where Work Will Be Done: ~+c~~~`-~ '~Toc.~~-- ~ C~u~.~r~ Office Address: Cal 5 =~~ ~ `-: ~ f [©c~5-~-on-e- k~-~c.,e f7.~~c~ rte, E t ~~ Office Phone Number: .~SCo ~ e~75 © Contact Person: ;U`c-~"~[n. l.,oV'e.~au~.Contact Phone #: Applicant Information: Name: ~r~-It ~~L~.v~~o~z Name of Business: ~` ~ ~ ~- -A-.ss~trA~ I i 5 z. ~~ A-v ~u e- .I~rc , t c> Contact Person: ~1~yun-~u-i ~o~~S°~ PHONE NUMBER: 3~`~ - Z~~ Parade Route /Assembly Location: (Map required for Parades) CELL # SCHEDULE: TO T-ME: ~ ~ as APPLICANTS SI ATURE DATE ~~ Rexburg, Idaho 83440 Fax: 208-359-3024 www.rexburg.org cdd@rexburg.org ~~ Permit PLEASE CHECKTHE TYPE OF PERMIT(S) YOU ARE APPLYING FOR: ^ Aerosol product manufacturing List of contents: ^ Combustible dust-producing operations Location: T e of dust: ^ Covered mall buildings Location: ^ Cryogenic fluids Types: Cutting and welding operations Location: ^ Dry Cleaning plants Location: Types of Chemicals: ^ Exhibits and trade shows Location: Type of Fire Extinguishers & Location: ^ Explosives Location: Types: ^ Fire hydrants and valves Locations: Types: ^ Flammable and combustible liquids Types: ^ Floor finishing T es: ^ Fruit and crop ripening Locations: T es: ^ Fumigation and thermal insecticidal fogging Locations: Types: ~ __ ^ Hazardous materials Locations: T es: ^ High-piled storage Location: Contents: ,~ Hot work operations Location: Dates ~ Times of Operation: ^ HPM facilities Location: ^ Industrial ovens Location: T es: ^ Large capacity battery systems Location: T e: ^ Liquid/gas vehicles/equip. in assembly buildings Location: T e: ^ LP gas transportation Location: T pe: ^ Lumber yards/plants Location: ^ Magnesium work Location: ^ Misc. combustible storage Location: T e: ^ Open burning Location: Time & Date: ~ Open flamesltorches Location: Time 8~ Date: ^ Operating amusement buildings Location: ^ Operating aviation facilities Location: ^ Operating carnivals or fairs Location: Dates & Times: ^ Organic coatings T pes: ^ Places of assembly Location: Dates & Times: ^ Private fire hydrants Location: ^ Pyrotechnic special effects material Location: T pes: ^ Pyroxylin plastics T pes: ^ Refrigeration equipment T es: ^ Repair garageslmotor fuel dispensing Location: ^ Rooftop heliports Location: ~_ ^ Spraying or dipping Location: ^ Storage of combustible fibers Location: T es: ^ Storage of scrap tires/etc. Location: ^ Temp. membrane structures, tents, and canopies Location: Date & Times: ^ Tire-rebuilding plants Location: ^ Use/Storage of compressed gases Location: T es: ^ Waste handling T es: ^ Wood products T es: Additional Information: