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HomeMy WebLinkAboutAPPLICATION - 06-00193 - Georgetown Apartments - Open Bonfire • __.. ~ C1TY OF RE:XBLIR~ "?7~ ~~ AMERICA'S FAMILY COMMUNITY 19 E. Main St. Rexburg,ldahc www.rexburq.c °OPERATIONAL PERMIT" APPLICATION $50.00 FEE PAID: YES/NO PERMIT APPROVED: YES/NO BY: `.-BATE: ~ D~ Owner Information: Parcel Number: Owner: sSrr~..ti ~~z Phone Number: ('2r,~f) "?~~"~~'`r Owner Mailing Address ~-~~ ~ ~~ ~ /~~~= ~ + ~~ ~~'~'Q!~ ~,~t Property Address: ~, ~~i f~_,, ~ • Cell Office Number: ~5~ ° 3 ~ ~ Business Name Where Work Will Be Office Address: Office Phone Number: Contact Person: Contact Phone #: Applicant Information: Name: ~.~-~„ •~-~ G w~ Name of Contact Person: PHONE NUMBER: Parade Route /Assembly Location: (Map required for Parades) ~~2 ~ ~Q ~ SCHEDULE: ~' ~ ~'~ P~ TC OS 00193 Georgetown Bonfire PERMIT #: ~. 4 ~L' i CELL # 3 c~ ,~ __ ._ .~,.r` PLICANTS SIGNATURE DAT 1 • Permit # PLEASE CHECKTHE TYPE OF PERMIT(S) YOU ARE APPLYING FOR: ^ Aerosol product manufacturing List of contents: ^ Combustible dust-producing operations Location: Type 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 T pes: ^ 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 & Times of Operation: ^ HPM facilities Location: ^ Industrial ovens Location: Types: ^ Large capacity battery systems Location: T pe: ^ Liquidlgas vehicleslequip. in assembly buildings Location: T pe: ^ LP gas transportation Location: T pe: ^ Lumber yardslplants Location: ^ Magnesium work Location: ^ Misc. combustible storage Location: T pe: ^ Open burning Location: Ti 8~ Date: Open flamesltorches Location: Time & Date: ~ ~ ~ ~ ~ C, ~,c~ ~ i~C~ P~ ^ Operating amusement buildings Location: r ^ Operating aviation facilities Location: ^ Operating carnivals or fairs Location: Dates 8~ Times: ^ Organic coatings Types: ^ Places of assembly Location: Dates 8~ Times: ^ Private fire hydrants Location: ^ Pyrotechnic special effects material (Fire works) Location: Types: ^ Pyroxylin plastics T pes: ^ Refrigeration equipment T pes: ^ Repair garageslmotor fuel dispensing Location: ^ Rooftop heliports Location: Additional Information: r~ ^ Spraying or ping Location: ^ Storage of combustible fibers Location: T pes: ^ Storage of scrap tiresletc. Location: ^ Temp. membrane structures, tents, and canopies Location: Date & Times: ^ Tire-rebuilding plants Location: ^ UselStorage of compressed gases Location: Types: ^ Waste handling Types: ^ Wood products Types: