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HomeMy WebLinkAboutAPPLICATION - 05-00337 - BYUI - Viking Stadium Torches w n n _a _ , ,j ~~$~~~ G4TY QF ~p ~`~.q~! ~~, ANtERIC~A'S FAtWtlLY CC?MMUl~ilTY 19 E. Main St. Phone: 208-359-3020 x322 ~ Rexburg, Idaho 83440 Fax: 208-359-3024 www.rexburg.org cdd@rexburg.org OPERATIONAL PERMIT" APPLICATION PERMIT#: © 0~~~7 $50.00 FEE PAID `ES NO PERMIT APPROVED YE 0 BY: DATE: ( ~ ~~ ~ ~~ Owner Information: Parcel Number: Owner: Phone Number: Owner Mailing Address: Property Address: Cell/Office Number: Business Name Where Work Will Be Done: Office Address: Office Phone Number: Contact Person: n• ~~~~~~ Name of Business: ,~~-C~(-~CI P Contact Phone #: Contact Person: ~,)c~..Y ~~t~ -LC ~ PHONE NUMBER: ~(~ ~ ~~ 3-~~ CELL # Parade Roufe/AssemblyLocafion: ~d-~. ~~ cc Y1-i/ (~,~ ~ n (Map required for Parades) SCHEDULE: l~~ ~~ 1d S TO !Q ~~ ~ ~t~..s TIME: 7~'3 ~ ~'~`~ ~ ~ ~7 6S. _~ APPLICANTS (GNAT RE DATE 1 Permit PLEASE CHECKTHE TYPE OF PERMITS 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: Dates 8~ Times of Operation: ^ HPM facilities Location: ^ Industrial ovens Location: T pes: ^ 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: Ti e & Date: Open flam s/torches. ~~ 4Lt ~/ Location: (~~ ' " ~ Time 8~ Date: Z~ ~~~~b:y ~- ~~1~'~ ^ 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: T pes: ^ Pyroxylin plastics Types: ^ Refrigeration equipment Types: ^ Repair garages/motor fuel dispensing Location: ^ Rooftop heliports Location: r~ ^ Spraying or dipping Location: 0 Storage of combustible fibers Location: Types: ^ 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: T pes: ^ Waste handling Types: ^ Wood products Types: Additional Information: