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APPLICATION - 05-00079 - BYUI Manwaring Ballroom - Fire permit
7- 3ZZ , oc~ CONTACT PERSON: IIt~ 1ow•c5 CELL PHONE # .~(3!/%~SZ APPLICATION FOR "OPERATIONAL PERMIT" REXBURG-MADISON COUNTY EMERGENCY SERVICES -APPLICANT INFORMATION: BUSINESS NAME: ~~ C3 OFFICE ADDRESS: - OFFICE PHONE NUMBER; k -y~ -~3 `t3 -LOCATION OF WORK TO BE DONE: ADDRESS WHERE WORK WILL BE DONE: ~C (,v c ~ ~ (( roo ~"~ BUSINESS NAME WHERE WORK WILL BE DONE: YV --~~, ~ ~, DATES FOR WORK TO E DONE: 7a~ ~ _ TO ~~a ; ~ CONTACT PERSON: _ I~ ~ ~o~• is PHONE NUMBER: _~D~S'i~9~r ~a3G3 CELL#~~ ~ C1~YT -(~ 3~J"~ PLEASE CIRCLE THE TYPE OF PERMIT(S) YOU ARE APPLYING FOR: 1. Aerosol product manufacturing 24. Industrial ovens 2. Operating amusement buildings 25. Eumber yardslplants 3. Operating aviation facilities 26. Explosives 4. Operating carnivals or fairs 27. LP gas transportation 5. Large capacity battery systems 28. Magnesium work 6. Combustible dust-produang operations 2 ..~Ilisc.s~mbustible storage 7. Storage of combustible fibers O.Open burnin 8. UselStorage of compressed gases 31.Open Iamesltorches 9. Covered mall buildings 32.Organic coatings 10. Cryogenic fluids 33. Places of assembly 11. Cutting and welding operations 34. Private fire hydrarrts 12. Dry Cleaning plants 35. HPM facilities 13. Exhibits and trade shows 36. Pyroxylin plastics 14. Liquidlgas vehicleslequip. in assembly buildings 37. Refrigeration equipment 15. Fire hydr-ants and vahres 38. High-piled storage 16. Flammable and combustible liquids 39. Rooftop heliports 17. Floor finishing 40. Spraying or dipping 18. Fruit and crop ripening 41. Storage of scr ' 19. Fumigation and thermal insecticidal fogging 42. Hazardous mat 'als ~ 20. Temp. membrane structures, tents, and canopies 43. Tire-rebuilding lants 21. Pyrotechnic special effects material 44. Waste handlin IAN 22. Repair garageslmotor fuel dispensing 45. Wood products 3 2005 23~Hotwort~operations ~I~Y ~~ REXBURG ~~ ~ ~ ~ . 3 ~OQS-' APPL CANTS SI TURE DATE ~rrrrrrrrrrrrr~^ ^rrrrrrrr~rrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrr^ PERMIT APPROVED: ~ ~ NO OPERATIONAL PERMIT #: DS ' ~~' ~ r- `~~L9-Ji,~ i1.~N-,=~,~'~urc,'~c5~ c:f~~,~~.~v v.-~ ~-LC%v,2 $50.00 FEE PAID: YE BY: -~ ~i20V~c~e ~ -7;2~}en/2C~ P2c~Le ~J/ /Y~i~r,-rt.~crr+ ~i~ ~X ~r•~G cwt t ~f~.~.S Cl u-~.-..~v yfot-~i NO R~,~' ~SD ~~as