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HomeMy WebLinkAboutAPPLICATION - 05-00074 - BYUI - Spirit Week Parade Torches~~ ~"`"'~t CITY OF .: ~ : R~xBUR~ AMERICA'S FAMILY COMMUNfrY °OPERATIONAL PERMIT" APPLICATION PERMIT #: $50.00 FEE PAI YES NO PERMIT APPROVED:~Y~E. /NO BY: ----'' DATE: ~ ~ Owner Information: Parcel Number: Owner: ~ C~ ~~~~ Phone Number: ~ ~ ~ ~ -~~ ~~ ~ ~ ~ .~ Owner Mailing Property Address: Cell/Office Number: Business Name Where Work Will Be Done: Office Address: Office Phone Number: ~ ~~ - ,~.30 ~ Contact Person: ~^ ,v ~az/~erttact Phone #: Name of Address: ~~ d~ /~Q r YL Contact Person: PHONE NUMBER: ~~~ ~~~a~ CELL # Parade Route /Assembly Location: C,f ~~~ ~ ~ l ~vc! ~m ~, ,ter ~ d`-~ e ~~ (Map required for Parades) ~~ T1ME: ~- ~U ~~_ „~ _ -;; ~~ti / pS' APPLICANTS SIGNATU E DA E 1 Rexburg,ldaho 83440 Fax:208-359-3024 www.rexbura.org cdd@rexburg.org r 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: P" ^ 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 8~ Times of Operation: ^ HPM facilities Location: ^ Industrial ovens Location: T es: ^ Large capacity battery systems Location: T e: ^ Liquidlgas vehicleslequip. in assembly buildings Location: T e: ^ LP gas transportation Location: T e: ^ Lumber yardslplants Location: ^ Magnesium work Location: ^ Misc. combustible storage Location: T e: ^ Open burning Location: Tim 8~ Date: Open flamesltorches Location: Time 8~ Date: ^ Operating amusement buildings Location: * •+ ^ Operating aviation facilities y . Location: ^ Operating carnivals or fairs Location: Dates & Times: ^ Organic coatings T es: ^ Places of assembly Location: Dates ~ Times: ^ Private fire hydrants Location: ^ Pyrotechnic special effects material Location: T es: ^ Pyroxylin plastics T es: ^ 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: ^ UselStorage of compressed gases Location: T es: ^ Waste handling T es: ^ Wood products T es: ~'+ d r y