HomeMy WebLinkAboutAPPLICATION - 05-00340 - Rexburg Motor Sports - Fire Alarm Systemr +-
CITY ~
R~:xBUR~
AMERICA'S FAMILY COMMUNfTY
~~~,
Phone: 208-359-3020 x326
Fax:208-359-3024
cdd@rexburg.org
APPLICATION: "CONSTRUCTION PERMIT" ~ ~ _ ~O ~~, ~
CONSTRUCTION PERM ~ #: .-
PERMIT APPROVED~~/ NO $5 0 FEE PAID: S 10
RMATION:
BUSINESS NAME:
OFFICE ADDRESS:
APPROVED BY:
City State Zip
OFFICE PHONE NUMBER: (_) ~~-~~Q,~
CONTACT PERSON: l~ir,-~ SI-~o~„~i CELL PHONE # ( )_
-LOCATION OF WORK TO BE DONE:
STREET ADDRESS WHERE WORK WILL BE DONE: 1 ~~'~-~ U~iversl }-c.,, ~Iyc~
BUSINESS NAME WHERE WORK WILL BE DONE: Re~e,bu.~-g Mc~~y~L 5~i~,2.~s
DATES FOR WORK TO BE DONE: a-~c~~ TO
CONTACT PERSON: ~'1o.~ed- ~-
PHONE NUMBER: (~)?~51n-~.-~o~ CELL # ( )
PLEASE CHECK THE TYPE OF PERMIT(S) YOU ARE APPLYING FOR:
^ AUTOMATIC FIRE-EXTINGUISHING SYSTEMS
^ COMPRESSED GASES
C~FIRE ALARM AND DETECTION SYSTEMS AND RELATED EQUIPMENT
^ FIRE PUMPS AND RELATED EQUIPMENT
^ FLAMMABLE AND COMMBUSTIBLE LIQUIDS
^ HAZARDOUS MATERIALS
^ INDUSTRIAL OVENS
^ LP-GAS
^ PRIVATE FIRE HYDRANTS
^ SPRAYING OR DIPPING
^ STANDPIPE SYSTEMS
^ TEMPORARY MEMBRANE STRUCTURES, TENTS, AND CANOPIES
~-12-~5
APPLICANT IGNATURE DATE