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HomeMy WebLinkAboutAPPLICATION - 05-00176 - BYUI Rigby Hall - Torches~r ~--- - -- - --- y - - _, ~ ~~'~ec ~+`~' AMERICA'S FAMILY CC?rb1MUNFCY . 19 E. Mam St. Phone: 208-359-3020 x322 ~sH Rexburg, Idaho 83440 Fax: 208-359-3024 wuvw.rexburg.orq cdd@rexburg.org "OPERATIONAL PERMIT" APPLICATION PERMIT #: 0 ~ ©01 `? CO $50.00 FEE PAID: YE NO PERMIT APPROVED: ES 0 BY: DATE: ~ / ~ d Owner InfoQrmation: Parcel Number: Owner: B \~ ('L- ~~~ ~ Phone Number: ~ g G Z ~ `~ 3 Owner Mailing Address: ~ ~9~ l~a (~ / Ll $ Property Address: ~~ ~ f Cell/Office Number: 3 13 ~ 19 $ Z Business Name Where Work Will Be Done: ~ ~ ~w ~ ~ „_ ,. ~~~~ ~ ~ /P 5 ~ ~ ~ ~~ ~ c ~,,-~ Office Address: Office Phone Number: Contact Person: ~ ((ew c%~es Contact Phone #: ~~r!i - Z3 9 3 GC' rr /`t Q POP/ `.`~`~ A ~licant Information: Name: l ~ ~,. ~n.,,c s .~/ A ~ -- ~:~ ~~~:~ -~ Name of Business: New f ~~~. ~ ~e~ ~ ~~~~,~ a„_, Address: ~ a .~, .e ~ S a ~ a ~~ Contact Person: Sa.~, e a5 a r, ~~-e PHONE NUMBER: '- CELL # Parade Route /Assembly Location: (Map required for Parades) SCHEDULE: cTu-tee. 2~ TO _ T/ME: ~i ~ _ ~-~ . ~G ~ y~ , ~ . T k ~.,.~ 5 . E ~~-~ ~~ 5 ~ l ~ bS APPLICANT IGNATURE DATE 1 ~ ~ ~ Permit PLEASE CHECKTHE TYPE OF PERMITS YOU ARE APPLYING FOR: ^ Aerosol product manufacturing List of contents: ^ Combustible dust-producing operations Location: Type 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 Ty es: ^ Fruit and crop ripening Locations: Types: ^ Fumigation and thermal insecticidal fogging Locations: Types: ^ Hazardous materials Locations: Types: ^ High-piled storage Location: Contents: ^ Hot work operations Location: Dates 8~ Times of Operation: ^ HPM facilities Location: ^ Industrial ovens Location: Types: ^ Large capacity battery systems Location: Type: ^ Liquidlgas vehicleslequip. in assembly buildings Location: Type: ^ LP gas transportation Location: Type: ^ Lumber yards/plants Location: ^ Magnesium work Location: ^ Misc. combustible storage Location: Type: ^ Open burning Location: Ti & Date: Open flamesltorches Location: Time ~ Date: ^ Operating amusement buildings Location: ^ Operating aviation facili Location: ^ Operating carnivals or fairs Location: Dates & Times: ^ Organic coatings Types: ^ Places of assembly Location: Dates & Times: ^ Private fire hydrants Location: ^ Pyrotechnic special effects material Location: Types: ^ Pyroxylin plastics T pes: ^ Refrigeration equipment T pes: ^ Repair garages/motor fuel dispensing Location: ^ Rooftop heliports Location: J ~ ^ Spra or d ng Location: ^ Storage of combustible fibers Location: Types: .^ 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: Types: ^ Waste handling Types: ^ Wood products T pes: Additional Information: