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HomeMy WebLinkAboutAPPLICATION - 05-00078 - Stone's Town & Country - Welding Torches~- ~dc~ CITY RE:XBt.IR~ `'~q.t~ AMERICA'S FAMILY CCMMUNfrY Phone: 208-359-3020 x322 Fax: 208-359-3024 cdd@rexbufg.org OPERATIONAL PERMIT" APPLICATION Number: ~~'~ - "~~~ Owner: Owner Mailing Address: 4~~~ C . ~O[~ Property Address: ~(~rt~ Cell/Office Number:, Business Name Where Work Will Be Done: Office Address: Office Phone Number: Contact Person: Name of r Contact Phone #: 19 E. Main St. Rexburg, Idaho 83440 www.rexbura.ora PERMIT#: ~ ~ Qr~~ $50.00 FEE P ID~/NO PERMIT APPROVED: YES/NO BY: --'-""-"'"-- DATE: 1 7 Contact Person: /~kf~s~n e~ j~'1+~~~t PHONE NUMBER: ~~o~x/ ~v~~ °~ CELL # Parade Route /Assembly Location: (Map required for Parades) SCHEDULE: TO TIME: ---~. ..y ~°" ~ d I _L~ / d~ APPLICANTS SIGNATURE DATE ~~ 1 ~- Permit # PLEASE CHECKTHE TYPE OF PERMIT(S~ YOU ARE APPLYING FOR: ^ Aerosol product manufacturing List of contents: ^ Combustible dust-producing operations Location: T pe 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 8~ 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 pes: ^ 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 pe: ^ Liquidlgas vehicles/equip. in assembly buildings Location: T e: ^ LP gas transportation Location: T e: ^ Lumber yards/plants Location: ^ Magnesium work Location: ^ Misc. combustible storage Location: T e: ^ Open burning Location: Time & Date: ^ Open flames/torches Location: Time & Date: ^ Operating amusement buildings Location: ~_ ^ Operating aviation facilities Location: ^ Operating carnivals or fairs Location: Dates & Times: ^ Organic coatings T pes: Places of ash sembl~~~ Location: Dates & Times: yap o~ 7:o~~m ^ Private fire hydrants Location: ^ Pyrotechnic special effects material Location: T es: ^ 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 tiresletc. Location: ^ Temp. membrane structures, tents, and canopies Location: Date & Times: ^ Tire-rebuilding plants Location: ^ Use/Storage of compressed gases Location: T pes: ^ Waste handling T pes: ^ Wood products T es: Additional Information: