Loading...
HomeMy WebLinkAboutAPPLICATION - 06-00233 - BYUI Manwaring Center - Fire Dancers September04 gkXftUgG, ~ ~ ~ M h~ •% ct'rY or 1:/ 9 -_ ---__------_-------------- ~~ c l~Z+~j Tn~-r BUILDING SAFET EPARTMENT ~ J_L_\_ -L------ lJ 117 ~~„ -------- M A "a<,s , men Americt~'s Famzly Community 19 E. Main St. Phone: 208-359-3020 Rexburg, Idaho 83440 Fax' - www. rexburg. org OPERATIONAL PERMIT" APPLICATION PERMIT#: ~' .. ~~~~ -~ --~ $50.00 FEE PAID:/NO PERMIT APPROVED: YES/NO BY: DATE: ~° ~ °"~ r, i~ Owner Information: Parcel Number: Owner:_ ~Y~ -Z~ c~~ O Phone Number: Owner Mailing Address: I`~f~ ~i Qlov )I 12.exlca~r~g , -r' d a>7~ Property Address: Cell/Office Number: Business Name Where Work Will Be Office Address: 14A' 124 bu ftrall ~pX ~ i ~j~_ h~ Office Phone Number: LIRA - 239 3 Contact Person: ~Il~.r, d ores Contact Phone #: X9(0 - 235 ~ Name: Name of Business: I~ec~ ~-brc~Q~-F ~(.~.n+c.-~-i en ~{ Contact Person: ~b~r ~ll -er, Parade Route /Assembly Location: (Map required for Parades) E NUMBER: ~I°I!o ~ 2393 CELL # y9[~ -zi ~g SCHEDULE: See~eXnber 2 TO TIME: e ~ 00 9 = 0 a n-~, S~`~d ~~ APPLICANTS SI TURE DATE 1 • Permit # PLEASE CHECKTHE TYPE OF PERMIT(S) 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 yards/plants Location: ^ Magnesium work Location: ^ Misc. combustible storage Location: T e: ^ Open burning Location: Time & Date: ~( Open flamesltorches Location: Time & Date: ~• q m Se ~ I zoolo ^ 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 & Times: ^ Tire-rebuilding plants Location: ^ Use/Storage of compressed gases Location: T es: ^ Waste handling T es: ^ Wood products T es: L.-a~C~ ~ _. _ ~ s......m ~~' 1 I Ins ~f r ~ r I~ ~~.P/ ~~f ... IQ°-~'-~... ~-c ~ S~ XQ....,ta°. l°Ci i^ 0. S (.. n ~. !` f"'r, •~-/'~J~.Q_S ~ (~.x GnG c.tm `~ of ~e.-.~ h~..__'. _ ~ai ~'tit_...T~ Ci QS_ !'~Q .n.~v`W„