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Home My WebLink AboutAPPLICATION - 06-00170 - Heart Mind & Soul - Fire Suppression System04/03/2006 11:28 FAX 2082320449 FIRE SERVICES OF IDAHO CffY RExBU~ X001 AMERICAS FAMILY COMMUNfiY 19 E. Mein ' Rexburg,) `"'"'--~' 06 00170 APPLICATION: "CONSTRUCTION PERMIT" Heart Mind & Soul Fire System CONSTRUCTION Pl PERMiT APPROVED; -YES/ O $50.00 FEE PAID: YF,$/NO APPROVED BY: _ •APPLICANT INFORMATION: BUSINESS NAME: ~ s C• ~ o OFFICE ADDRESS: r~ ~ d ~ ~ - 3 ~ v ~ OFFICE PHONE NUMBER: ( 2+7 6" ) 7-3 ~, - 3(0 ~e zlp CONTACT PERSON:17~/Irk ~11~Ifi ~,/~/(~.. CELL PHONE # ( o~,_) ~sj -D.>' ~ ~~ -LOCATION OF WORK TO BE DONE: STREET ADDRESS WHERE WORK WILL BE DONE: 6~ r''10~ I/~ 0 R~?' ~I~R(T 6USINESS NAME WHERE WORK WILL BE DONE: ~S' G. DATES FOR WORK TO BE DONE:- TO S ~ ~~(, CONTACT PERSON: ~!Il ~ (~ I 'I'"l ___ _ __ _ __ _ PHONE NUMBER: (~~) ~~ ~ - ~/~Nu ~ CELL # (,~~) -0 PLEASE CHECK THE TYPE OF PERMIT(S) YOU ARE APPLYING FOR: ~' AUTOMATIC FIRE-EXTINGUISHING SYSTEMS ^ COMPRESSED GASES ^ FIRE ALARM AND DETECTION SYSTEMS AND RELATED EQUIPMENT ^ FIRE PUMPS AND RELATED EQUIPMENT ^ FLAMMABLE AND COMMBUSTIBLE LIQUIDS ^ HAZARDOUS MATERIALS ^ INDUSTRIAL OVENS 0 LP-GAS ^ PRIVATE FIRE HYDRANTS ^ SPRAYING OR DIPPING ^ STANDPIPE SYSTEMS ^ TEMP RY E NE STRUCTURES, TENTS, AND CANOPIES AP (CANTS SIGNATURE DATE r~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~rr~~~~~~~~~~~~~~~~~~~~~~~~~r~~~~~~~~~~~~~~~ 04/03/2006 11:28 FAX 2082320449 FIRE SERVICES OF IDAHO ~ 002 _; . _ C.r p .~ ~, .... ...... ..i _ ..._.. --- -• _ _ _. ... ............__._...._. ' ~ ~ ~ . .~X ... .. .. .. _.._...... _..-. ._ .. ..J- - - -._ ._....___. .... .._:. - .... ...._.. - .....~ ~ .i .. .. .: .J. _ _. __..i_ ..- .._ I ~. ~ ~ . i I I i .J__...!_....._....._.__.... . ~ .. ~ ~ ~ ~ ~ l _~ _ _~ ._. _.._. .. _... .~... ~ __J_~~~J___ i ~ ~ i :. -d ._ . ~~_~. _ .. - - - --q~ ~ - 5 -.~~ ~ _.. __.....-i~_... ,. i ..._ . .. ..~. - ..I .J . } _~ _.._...._..., ,,. ,.. _. _ . . _. ~ .. ~ _ .._. ... _~-~ --.._.__ i ... ~ ._ ,~ .._ . , .. ._ . _, .. .. ~.. ~ ~ , S _~ _ -......_. i 5., , .. ~~ a ~r .J. ~ _.. _. _ _ .. ._ p ... Q __ .. _ .. - -- ' U ~~ ~ ~~ i ~ ~ :. - ~ Q ._ ..~....__i. ....--- ~ -~ ~ ~ ~ . ~ , ~ ~ ^~ _ , . ~.~. III, ---._...__.~. ~ ~' . ~ `'-' -- _:---~ .'~".= _ ~, ~ . _ _ - - ;- D _.~ .d ' ~ I ___ i _. _. _ .. .: _ ~ .. -. ~ '