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HomeMy WebLinkAboutAPPLICATION - 05-00283 - Premier Powder Coating - EMS Operation Permit• ~~'~~~~ can aF ~...E:~B~C..R~ ~`~' 1`~ AMERICA'S FAMILY CQf~tNtUNl77 19 E. Main S! ggf~HEp Rexburg ww~~ "OPERATIONAL PERMIT" APPLICATION _ __ __ 05 00283 Premier t'owder Coatiri~, F~;NtS Ops Ye--rnit PERMIT #: $50.00 FEE PAI YES 0 PERMIT APPROVED: YES/NO BY: -~"- DATE: ~ lS' oS' Owner Information: Parcel Number Owner: C ra t`q ~. ~01'T ~r Phone Number: Zag -356 - 3 z~3 Owner Mailing Address: Property Address: i i 5 /`~ • Z" a W ~ Cell/Office Number: ZOS - ZO'~ ' 3 00~ Business Name Where Work Will Be Done: ~r~ (pr ~awc~ Coa~,'u ~' ~, j{,r,[~. ~b ri ca~-ib~, L~ ~ Office Address: 1 ~S N • Z "`~ VV • ~r-~cbNr ~ l~ ~3yy 0 Office Phone Number: '3sc.-3z~3 Contact Person: C'rag` Contact Phone #: Zoe.-3oo~ Applicant Information: Name: Name of Business: Address: Contact Person: PHONE NUMBER: CELL # Parade Route /Assembly Location: (Map required for Parades) SCHEDULE: TO TIME: /~ r ~ .Quq Zoos' APPLICANTS IGNATURE DATA 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 & Location: ^ Explosives Location: Types: ^ Fire hydrants and valves Locations: Types: ^ Flammable and combustible liquids Types: ^ Floor finishing Types: ^ 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: ~~~ N Z'"` W ~ Sa.tC, ~(~) Dates 8~ Times of Operation: - 5 crw. - (e ^ HPM facilities Location: ^ Industrial ovens Location: Types: ^ Large capacity battery systems Location: T pe: ^ Liquid/gas vehicles/equip. in assembly buildings Location: T pe: ^ LP gas transportation Location: Type: ^ Lumber yards/plants Location: ^ Magnesium work Location: ^ Misc. combustible storage Location: T pe: ^ Open burning Location: Time & Date: Open flames/torches ocation: ins ~ • 2"`' W• ~s• ~5'~ Time & Date: ~r,~(; c rN- s 7G~ - ~ ~•- ^ Operating amusement buildings Location: ^ Operating aviation facilities 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 Types: ^ Refrigeration equipment Types: ^ Repair garages/motor fuel dispensing Location: ^ Rooftop heliports Location: ^ Spraying or dipping 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: B' UselStorage of compressed gases Location: t~s ~ z"'` uI • (5 • bd~•) T pes: oz ~4r9cu~ .4ce~. l.K•e ^ Waste handling Types: ^ Wood products Types: Additional Information: