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HomeMy WebLinkAboutAPPLICATION - 06-00306 - BYUI - Blasting Permit06f 15f 2006 07:24 ~~ a a a 208-535-1079 • CITY OF EAGLE ROCK BLASTING PAGE 01 7q ~~ MAERlG15 FAMILY COMMIINf(Y 19 E. Main St. Phone: 208-359-3020 x322 !~ Rexburg, Idaho 83440 Fax: 208-359-3024 wvuw.rexburo.ora cdd@rexburg.org °OPERATIONAL PERMIT" APPLICATION PERMIT #: $50.00 FEE PAID: YES/NO PERMIT APPROVED: YES/NO BY• E• c~ o° ~ Owner Information: ~ Parcel Number: Owner:~~~~~~P~~ Phone Number. Owner Mailing Address: Property Address: Cell/Offic'e /Number: .Business Name Where Work Will Be Done: ~,,~on ~,~or~ - T7` ~.~ Office Address: f 7'. ~. Office Phone Number ~S ~ ~ ~G~eo Contact Person:.<<io Contact Phone #: 3 ~7 ' ~6 3a icant Informatiork Name of Add Contact Person: E NUMBER: 450-x'79 Y cE~ ~~ -~/~ Parade Route /Assembl Location: / fti ,cc y .~~, ~~ s,~r O >C ~ -ZQrr~ (Map required for Parades) SCHEDULE: G,~i~ 0 4 TO / e"~~ ~ a 4 TIME: d,~~:{ jc /,~ D ARPLICANTS SIGNATURE DA E ~rrrrrrr~~rrrr~~~~~~rrrrrrrro~~~~~r~rrrrrr~~r~e~~~~~~~r~rr~~~~~~~~~~~r~~rrrrrr~~~~~~~~~ 1 06/15/2006 07:24 Permit 208-535-1079 EAGLE ROCK BLASTING • PAGE 02 PLEASE CHECI(TI-IE 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: 0 Cryogenic fluids Types: ^ Cutting and welding operations Location: ^ Dry Cleaning plants Location; Types of Chemicals: D Exhibits and trade shows Location: Type of Fire Extinguishers 8~ Location: ~ Explosives Location~~~ ~+ ~~ r• ~ Types: ~X~abr•~~S ^ Fire hydrants a/nd valves Locations: Types: ^ Flammable and combustible liquids Types: ^ Floor finishing T es: ^ Fruit and crop ripening Locations: T pes: ^ 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: f~ Industrial ovens Location: T es: ^ Large capacity battery systems Location: T pe: ^ Liquidlgas vehicleslequip. in assembly buildings Location: T pe: ^ 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 flames/torches Location: Time & Date: ^ Operating amusement buildings Location: 07:24 208-535-1079 EAGLE ROCK BLASTING PAGE 03 C~ Operating aviation facilities Location: ^ Operating carnivals or fairs Location: Dates $ Times: ^ Organic coatings T pes: ^ Places of assembly Location: ,~ Dates 8~ Times: ^ Private fire hydrants Location: o Pyrotechnic special effects material (Fire works) Location: T pes: ^ Pyroxylin plastics T es: Refrigeration equipment T, es: ^ Repair garageslmotor fuel dispensing Location: ^ Rooftop heliports Location: 0 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: ^ l9selStorage of compressed gases Location: T es: ^ Waste handling T es: ^ Wood products T es: Additional Information: `i T~.g .~ ,`,s ~.t 90 arc t~ ~. ~ ie..i/ ~j ~ 6 `' JZI^ O 1'~- fA O . ~'