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HomeMy WebLinkAboutAPPLICATION - 06-00402 - LDS Temple & Stake Center - Blasting`~ ~ 08/14/2006 15:11 .._.~. b 208-5~5-1079 CITY OF REXBL,I R~ /1MERICA'S FAMILY COMMUNrrY 19 E. Main S Rexburg, Idz uvww.rexburc ~OPERATIONAL PERMIT" APPLICATION 06 00402 Blasting on 7th S by the Temple $50.00 FEE PAID: YES/NO PERMIT APPROVED: YES/NO BY: ~ATE:B Z8 D Owner Information: Parcel Number: Owner: ~"S~ ~, ,,,,. R o , .~,o Phnnone Number: 3 s Co - [e 9 ~~. Owner Mailing Address: ago 3 ~,~ {- 3~ pR sQ~ ~~ ICS . b,,,,. ~,~(__g3 y ~7 h Property Address: ~]~ S6 ~~ ~. Cell/Office Number: Business Name Where Work Will Be Done: ~ ~ ha (..u,,.GG,,. ~... I~. G, 1 ~ 4..,.~I,e ~ (~. (1 S. ~~_(~,..P~... Office Address: Office Phone Number: Contact Person: f~~ Contact Phone #: 3l '] ~8>ta~ iicar~t Information: Name of Contact Person: / /~ y PHONE NUMBER: ,Z~ y- y~~~ _CELL # G8(~-~ -~ 9,~'- Parade Route /Assembly Location: ~ ~~~ ~ ~G, (Map required for Parades) SCHEDULE: ~- /G-O G TO /„7 - / - o G TIME' ~i f~{y~/Iner~ ~- ~ y- o ~ AP ICANTS SIGNATURE DATE ~rrrrrrrrrrrrrrrrrrrrrrrrrrrrrsrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrr~ 1 EAGLE R~~K BLASTING PAGE 01 288-535-1079 Permit EAGLE ROCK BLASTING PAG 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 8~ Location: ~ Explosives Location: ~~ti So~,~-G, Types: r--,s.nr: cra / ~~-~/os~t~+~.l ^ Fire hydrants and valves Locations: Types: ^ Flammable and combustible liquids Types: ^ Floor finishing T pes: ^ Fruit and crop ripening Locations: T es: ^ Fumigation and thermal insecticidal fogging Locations: Types: 0 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 vehicleslequip. 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 flames/torches Location: Time ~ Date: ^ Operating amusement buildings Location: 08f14f200b 15:11 208-535-1079 _. ~:1 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 garages/motor fuel dispensing Location: ^ Rooftop heliports Location: Additional Information: EAGLE ROCK 13LASTING PAGE 03 ^ Spraying or dipping Location• ^ Storage of combustible fibers Location: T es: 0 Storage of scrap tires/etc. Location: ^ Temp. membrane structures, tents, and canopies Location: Date & Times: ^ Tire•rebuilding plants Location: ^ UselStorage of compressed gases Location: T es: ^ Waste handling T es: ^ Wood products T es: 3