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HomeMy WebLinkAboutAPPLICATION - 05-00206 - BYUI - Torch Parade • • ~~~c~ GITY QF '~~~ ~~q~' A.NfERICA'S FAMILX CQMMUNrfY 19 E. Main St. Phone: 208-359-3020 x322 ~SFiE Rexburg, Idaho 83440 Fax: 208-359-3024 www. rexburg.org cdd@rexburg.org uOPERATIONAL PERMIT" APPLICATION PERMIT #: ~ `a ~~0 oZOCo $50.00 FEE PAID: ES/ 0 PERMIT APPROVED: YES/NO L/~' S ~ tel. o ~ BY: DATE: , Owner Information: Parcel Number: `~.PRoB©~0©~Olen Owner: Owner Mailing Contact Person: Property Address: Cell/Office Number: Business Name Where Work Will Be Dc Office Address: Office Phone Number: Applicant Information Name: ~. i/! t_t. ~~-~-{ ~ Name of Business: [.~ ". ~f - .L Address: / L- C<'` ~ e ,~-.~ Contact Person: ~%.~~ ~.~-,;~; Parade Route /Assembly Location: (Map required for Parades) ONE NUMBER: ~`~~ - ~-~~ CELL # .~1 ~` c~ ~:~'.~ 0 ~., j { 1. J~ } ~~~as~ i' ?(1(iti ''~H p i APPLICANTS SIGN TORE DATE Number: Contact Phone #: 1 • Permit PLEASE CHECKTHE TYPE OF PERMIT(S) YOU ARE APPLYING FOR: ^ Aerosol product manufacturing List of contents: ^ Combustible dust-producing operations Location: Ty a of dust: ^ Covered mall buildings Location: ^ Cryogenic fluids Types: ^ Cutting and welding operations Location: ^ Dry Cleaning plants Location: Types of Chemicals: ^ Exhibits and trade shows Location: Type of Fire Extinguishers & Location: ^ Explosives Location: Types: ^ Fire hydrants and valves Locations: Types: ^ Flammable and combustible liquids Types: ^ Floor finishing ^ Fruit and crop ripening Locations: ^ Fumigation and thermal insecticidal fogging Locations: Types: • ^ Hazardous materials Locations: Types: ^ High-piled storage Location: Contents: ^ Hot work operations Location: Dates 8~ Times of Operation: ^ HPM facilities Location: ^ Industrial ovens Location: T pes: ^ Large capacity battery systems Location: Type: ^ Liquid/gas vehicles/equip. in assembly buildings Location: T pe: ^ LP gas transportation Location: T pe: ^ Lumber yards/plants Location: ^ Magnesium work Location: ^ Misc. combustible storage Location: T e: ^ Open burning Location: Time. & Date: Open flames/torches Location: ~ rR z U ~$ `~~ ~'~-~' ~ ~,`"~% Time 8~ Date: `7/~;~.1 c ~~ fir' ~3v ,,,,,.~ ^ Operating amusement buildings Location: 2 • ^ Operating aviation facilities Location: 0 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: T pes: ^ Pyroxylin plastics T pes: ^ Refrigeration equipment T pes: ^ Repair garages/motor fuel dispensing Location: ^ Rooftop heliports Location: 0 Spraying or dipping Location: ^ Storage of combustible fibers Location: T pes: ^ Storage of scrap tires/etc. Location: ^ Temp. membrane structures, tents, and canopies Location: Date 8~ Times: ^ Tire-rebuilding plants Location: ^ Use/Storage of compressed gases Location: Ty es: ^ Waste handling Types: ^ Wood products Types: Additional Information: