HomeMy WebLinkAboutAPPLICATION - 06-00246 - The Backyard - Fire Suppression System:!.-
~W 1 i V~
J~r`~+nILnV ~~~R~L ~.i
MAERi1~A5FAMLY GOA~1Mt1NITY • 19 E. AAain St. Phone: 208-359-3020 x326
Roxbury, Idaho 83440 Fax: 208-359-3024
' - www.rexbura.orc cdd(gZrexburg.org
..
APLICATION~~"CONSTRUCTION PERMIT" ~ - -
..
CONSTRUCTION PERMIT #s ~~
• f~ PERNIIT APPROVED: YES/ NO 550.00 FEE PAID: ~i~
APPROVED BY: ~._.--
-APPLICANT INFORMATION:
BUSINESS NAME: AE s-',~ ~IIG Sys 0 F ~PI f ~h~ Z(D I pyLi?L/~t11=
OFFICE ADDRESS: ~~~2r~ /
~ ~. .. ~
~~ y
O~~ECE P~IONE NUMBER: =~' ~-? ?- ~ ~.~ !J
CONTACT PERSON: CELL PHONE # (:~ 1- f'I - D~~Gf
` -LOCATION OF WO,~K TO BE DONE:.
STREET ADDRESS WHERE WORK WILL BE DONE: 1 S S• 2 ~~ u~ ~f fi
BUSINESS NAME WHERE WORK WILL BE ON
DATES FOR WORKTO BE DONE: Z TO a
. CQ-INTACT PERSON: _ _
:..
PHONE NUMBER: ~~ ~ CELL # (.~)
PLEASE CHECK THE TYPE OF PERMIT(S) YOU ARE APPLYING FOR:
,,
AUTOMATIC FIRE•FXTINGULSHING SYSTEMS •
a COMPRESSED GASES
~ FIRE ALARM AND DETECTION SYSTEMS AND RELATED EQUIPMENT
• 0 FIRE PUMPS AND. RELATED EQUIPMENT
-0 FLAMMABLE AND COMMBUSTIBLE LIQUIDS
. ~ HAZARDOUS ~TERIALS -
INDUSTRIAL OVENS
Q LP-GAS ,
CI PRIVATE FIRE F~YDRANTS
^ `SPRAYING OR [SIPPING.
Cl ~' STANDPIPE SYSTEM ~ ~'
D TE 0 Y M TRUCTURES, TENTS, AND CANOPIES
. ~ ~ ~
APPLICANTS SIGNATURE DAT
MAY 2 2 2006
CITY t}F REXBURt
to
05/19/2006 09:13 FAX 2082320449 FIRE SERVICES OF IDAHO I~j002
•
~Y Ct~
R~.x~u~
i1AAFAJ6-a5 EAM9_Y COMMUNffY
19 E. Main St.
Rexburg, Idaho 83440
www.rexburg.o~r
Phone: 208-359.302 X326
Fax: 208-35 8-3024
cddf~rexb ug.o~g
APPLICATION: "CONSTRUCTION PERMIT"
CONSTRUCTION PERNdIT #:~~ ~~
PERMIT APPROVED: YES/ NO SS0.00 FEE PAID: r'T:~irf0
APPROVED BY:
-APPLICANT INFORMATION:
BUSINESS NAME: ~i ALE S~~ tic ~~s o F Gh> Z6D I p~~~Jr.
OFFICE ADDRESS: ~~~
~ ~ Stets Zlp
OFFICE PHONE NUMBER: ~~ ) 2~ r - 3~ y0
CONTACT PERSON: ~ CELL PHONE # (,~~::)_~-fl ~D~~~
-LOCATION OF WORK TO BE DONE:
STREET ADDRESS WHERE WORK WILL BE DONE: 1 S S~ ~ ~~C ~ ~~ r
BUSINESS NAME WHERE WORK WILL BE ON
DATES FOR WORK TO BE DONE: 1 TO b~
CONTACT PERSON:
PHONE NUMBER: (~_) CELL # (_,.._)
PLEASE CHECK THE TYPE OF PERMIT(S) YOU ARE APPLYING FOR:
AUTOMATIC FIRE-EXTINGUISHING SYSTEMS
0 COMPRESSED GASES
^ FIRE ALARM AND DETECTION SYSTEMS AND RELATED EQUIPIiAENT
^ FIRE PUMPS AND RELATED EQUIPMENT
^ FLAMMABLE AND COMMBUSTIBLE LIQUIDS
^ HAZARDOUS MATERIALS
^ INDUSTRIAL OVENS
~ LP•GAS
^ PRIVATE FIRE h~YDRANTS
^ SPRAYING OR GIPPING.
^ STAND,'~IPE SYSTEM
^ TE 0 RY M N TRUCTURES, TENTS, AND CANOPIES
~. ~ ~ 0(~
APPLICANTS SIGNATURE DAT
^~••~~~~~~•••••^•••r~~rtrtrtrt~~••••••••~••••••••.•••••r••~~••rtrf~•^^i~•.rr.••••••^.^^^•^^.
X05/19/2006 09:13 FAX 2082320449 FIRE SERVICES OF IDAHO X001
..
C1
• ~ ~ • _ .I ! .. _ ...__._ .
~ ~ ~ ~..
~ s~ ~ ~ ~ ~ ~~ i ~
~ ~ i i
`~~ '~ _, _~.. ._ ... _..I .. .
'~ ~ ~ ~
.~ ~ -:
~ ~ ; ~~
~ ~ ~ o ,~
.. .. _.~: .,5e?..
~ ~ ~~
~ ~ ~
~ ~ w ~ ~i ~'
~ ~~
--i ~
~ .~ ~ s
.. .,
~ ~ :.._
.. - ~ c iai p ~. i
~.
~ ~ ..
.~.
.....
~'
_ ._ .. .,.
..a r' I .~; i--. L...
~ ~ ~ ~ _
~ S ~
.~ ~ ~ .
..
~ ~
~ ~ °o
\~ .. ~ c'' ~- i
. ~ ~ ~
~ - ~'
- - ~ -
. _.. ~ ~ _