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APPLICATION - 06-00232 - BYUI Manwaring Center - Fire Dancers June
F~ ~~ CITY OF "~ ~ I~~V1tG BUILDING SAFETY A Lei ', .1tD V ltt.] nv °e, , s ~ 6e, Arnericus FumiXy Cornmunrty 19 E. Main St. P one: 2 8- 9-3020 x 6 Rexburg, Id9 hog 3440 ~ ~-~ ,a~ www.rexbur .or ~ ~j OPERATIONAL PERMIT" APPLICATION PERMIT #: - ~` ':' ~" ~-~.. $50.00 FEE PAID: ~ %NO PERMIT APPROVED: YES/NO BY:~.~., l ~ DATE: ~ `~ ~ ~ Owner Information: Parcel Number Owner:__ 3 Yu ` -~dGh© Phone Number: Owner Mailing Address: I `'f ~ ~ i a by ~ I 2 .xfk ~, , .~~~ n Property Address: Cell/Office Number: Business Name Where Work Will Be Done: Office Address: lyS 12~abu -~Z,.1I ~.PaclZ~, ~a~ahc~ Office Phone Number: y R ~ - Z3q 3 Contact Person: ~ (fQ~~onPS Contact Phone #: ~l°!~ - ~3R_~ Name Name of Business: ~IeW ~-i,~d~Py1+ ~i~~-~t,'t~`nYl Address: ! y g I~iab~l ~,J 1 l~f'>r~)I,t,,~ i 2,~a ~~ Contact Person: «~J-'1 ,~ohe~ PHONE NUMBER: y~(~ - 239~ELL# 9°r-r,~,b,~- Pr Il~m y 5~ ~ L ! ~g Parade Route /Assembly Location: (Map required for Parades) SCHEDULE: _~ la hP 29 TO TIME: ~ ~ OD cam ~ 9 :OZ)~m .S/~ ~/ o ~ APPLICANTS ATURE DATE 1 • • Permit PLEASE CHECKTHE TYPE OF PERMITS YOU ARE APPLYING FOR: ^ Aerosol product manufacturing List of contents: ^ Combustible dust-producing operations Location: T e 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 es: ^ Fruit and crop ripening Locations: T es: ^ Fumigation and thermal insecticidal fogging Locations: Types: ^ Hazardous materials Locations: T es: ^ High-piled storage Location: Contents: ^ Hot work operations Location: Dates & Times of Operation: ^ HPM facilities Location: ^ Industrial ovens Location: T es: ^ Large capacity battery systems Location: T e: ^ Liquidlgas vehicles/equip. in assembly buildings Location: T e: ^ LP gas transportation Location: T e: ^ Lumber yardslplants Location: ^ Magnesium work Location: ^ Misc. combustible storage Location: T e: ^ Open burning Location: Time 8~ Date: •~ Open flamesltorches Location: Time & Date: ~ -q' m u,~e ZR •~b ^ Operating amusement buildings Location: ^ Operating aviation facilities Location: ^ Operating carnivals or fairs Location: Dates & Times: ^ Organic coatings T es: ^ Places of assembly Location: Dates & Times: ^ Private fire hydrants Location: ^ Pyrotechnic special effects material (Fire works) Location: T es: ^ Pyroxylin plastics T es: ^ Refrigeration equipment T es: ^ Repair garageslmotor fuel dispensing Location: ^ Rooftop heliports Location: Additional Information: ^ Spraying or dipping Location: ^ Storage of combustible fibers Location: T es: ^ Storage of scrap tiresletc. Location: ^ Temp. membrane structures, tents, and canopies Location: Date 8~ Times: ^ Tire-rebuilding plants Location: ^ UselStorage of compressed gases Location: T es: ^ Waste handling T es: ^ Wood products T es: -- _ Lii.~aL. ~~ ~r s ne 1'~vd.... ".~ _ ~~ na- -~s"' .,,~ S"j'~.e_.-~~ . T~ er ~ ~~ (~ / /~ ee 9 ) V1~m `lam,`./. _ .~,1 rx.~-..zr/ t_i~ n wCr. -- c - ~ ~ _ n.n _ ~~ .r^? fre ven-~ ~ o S . ~ L I<. 5 ii ~/~~.e.~.l ~~._ _ ~., _. "h tir, e , r^~te ~~ ~-G ~J~Ye~~., t~.r_ Cid -P I-s .- .. .,/. - - -