HomeMy WebLinkAboutAPPLICATION - 05-00361 - Beehive Federal Credit Union - Fire Alarm Systemr ~
----~ OS 00361.
~ °~~~ :~ Beehive Federal Credit Union -Fire Const.
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,~ AdvtlrfZlG1'S f'iL~tILY C.QMrtitUJViTY 1 E Main St.Phone: 208-359-3020 x326
9~ Rexburg, Idaho 83440' ~ Fax: 208-359-3024
www.rexbura.ora cdd@rexburg.org
APPLICATION: "CONSTRUCTION PERMIT" ,
CONSTRUCTION PERMIT #:
PERMIT APPROVED: YES/ NO $50.00 FEE PAID: YE O
APPROVED BY:
-APPLICANT INFORMATION:
BUSINESS NAME: NELsati Ftr~C ~s-~++5
OFFICE ADDRESS: /~ B~ !Lt/~TaR, s,r,~-r ~~LT G,g,~ C~ TY (.lT B ~/~
O~Y state Zip
OFFICE PHONE NUMBER: (£~o/ ) 5F6 S -- S 3oe
CONTACT PERSON: ,~eJV NEGSoN CELL PHONE # (S~d / ) (o SZ- ~
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-LOCATION OF WORK TO BE DONE:
STREET ADDRESS WHERE WORK WILL BE DONE: X0$7 E 12~,~ soN ~iuE ~~ ~~~ z ~ ~
BUSINESS NAME WHERE WORK WILL BE DONE: Bi/eH>>rG ~~r~~It. ~ai~ UNoa~/ ~ ~ `~~
DATES FOR WORK TO BE DONE: 9- a orLw~ TO 1/.- ab ~D .r
CONTACT PERSON: D~9vE k'u~c/s
PHONE NUMBER: (~3v/ ) ~6 e - ~ 3od
PLEASE CHECK THE TYPE OF PERMIT(S) YOU ARE APPLYING FOR:
^ AUTOMATIC FIRE-EXTINGUISHING SYSTEMS
^ COMPRESSED GASES
,1ffi 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
APPLICANTS SIGNATURE DATE
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