HomeMy WebLinkAboutAPPLICATION - 05-00341 - Apex Alarm - Fire Alarm System
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AMERICAS FAMILY COMMUNITY
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19 E. Main St. Phone: 208-359-3020 x326
Rexburg, Idaho 83440 Fax: 208-359-3024
www. rexbu ra.orp cdd@rexburg. org
APPLICATION: "CONSTRUCTION PERMIT"
CONSTRUCTION PERMIT #: ~~ ~ ~ ~~
PERMIT APPROVED: NO $50.00 FEE PAID: YES/NO
-APPLICANT INFORMATION:
BUSINESS NAME: e..la~
OFFICE ADDRESS: X40 ~.
APPROVED BY: /' i
City State Zip
OFFICE PHONE NUMBER: (aog ) 52~-1---LI2.82
CONTACT PERSON: Yi~rn ~1-.wh~.L CELL PHONE # ( ) `D/~a
-LOCATION OF WORK TO BE DONE:
STREET ADDRESS WHERE WORK WILL BE DONE: Flo ~`~ fYtai~'- ~r-te~-
BUSINESS NAME WHERE WORK WILL BE DONE: ~, 1a~2,r~
DATES FOR WORK TO BE DONE: 9-~~,-os 0
CONTACT PERSON: Pia-u14.,l~~wd~~
PHONE NUMBER: (~r~fS) 359- i9II~ 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
APPLICANT... IGNATURE .............................. DATE .. , ..................... ,