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HomeMy WebLinkAboutAPPLICATION - 06-00614 - Canyon View Subdivision - Rock Blasting13 ® 12115/2006 08:26 208 -535 -1079 ■ May, 22, 2006 8:42AM O 0 : 0 Q y �tF.X� URC, CITY OF �r BUILDING SAFETY DEPARTMENT �I C% V11�T '•,, ,.' Amedca� Pamily Community 19 E. Main S Rexburg, Ids www.rokburg 0600614 Canyon View Subdivision ,, OPERATIONAL PERMIT APPLICATION Rock Blasting $50.00 FEE PAID: YES/NO PERMIT APPROVED: YES/NO EAGLE ROCK BLASTING 0 PAGE 01 No. 2155 P. 2 TE� O— w— mr_Information;__ __ _ Parcel Number: Owner e k- �� /&P-VC �e-f-- Phone Number. Owner Mai{ing Address: Property Address: Call/Office Number. Buslness Name Where Work Will Be Done: .,� Office Address: M")) J)OZAUJ d ,S�i d,Le Office Phone Number: Contact Person: Contact Phone #: Applicant Information; Name of Contact Person: z Y I L -4cta PHONE NUMBER: In & # 10 aC qq Parade Route /Assem* Location: (Map requited for Parades) 99DULE: /e2 -/V , D L TD I - ,31 ,- Q J TIME: & ��� a Ja- APPLICANTS SIGNATURE DATE i■■■■■ �■ r■■■■■■■ ��■ �■■■ rrss■s■ srss■ s■ rs■■■ r■ ss■ srssssss ■ ■ ■. * ■ ■. ■■ ■■■■■ ■■■■ ■ ■ ■■ ■■ ■■■■■� 12/15/2006 08:26 208- 535 -1079 May, 22. 2006 8:42AM Permit EAGLE ROCK BLASTING • PAGE 02 No. 2155 P. 3 PLEASE CHEeCKTHE TYPE OF PE?RMIT($) YOU ARE APPLYING FOR: ❑ Aerosol product manufacturing List of contents: ❑ Combustible dust - producing operations Location: TyE2 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: Canyon V10-U-3 Types: R.J. leas '"I 0 Fire hydrants and valves Locations: Types: D Flammable and combustible liquids Types: ❑ floor finishing Type ❑ Fruit and crop ripening Locations: - Types: ❑ Fumigation and thermal insecticidal fogging Locations: Types: ❑ Hazardous materials Locations: Types: ❑ High -piled storage Location: Contents: o Hot work operations Location: Dates & Times of Operation: ❑ HPM facilities Location: ❑ Industrial ovens Location: Types: ❑ Large capacity battery systems Location; Typ e: Q Liquid /gas vehicles/equip. In assembly buildings Location: Type: E] LP gas transportation Location: 0 Lumber yards /plants Location: ❑ Magnesium work Location: ❑ Misc. combustible storage Location: Type: ❑ Open burning Location: Time & Date: ❑ Open flameshorches Location: Time & Date: ❑ Operating amusement buildings Location: 2 12115/2006 05:26 208- 535 -1079 May, 22. 2006 8:42AM • ❑ Operating aviation facilities Location: ❑ Operating carnivals or fairs Location: Dates & Times: ❑ Organic coatings T ypes: ❑ Places of assembly Location: Dates & Times: ❑ Private fire hydrants Location: ❑ Pyrotechnic special affects material (Flra works) Location: T ❑ Pyroxylin plastics T ypes: ❑ Refrigeration equipment T ❑ Repair garages/motor fuel dispensing Location: ❑ Rooftop heliports Location, ArirliflAnal In#Arrn941ren - EAGLE ROCK BLASTING 0 PAGE 03 No. 2155 P, 4 o Spraying or dipping Location: 0 Storage of combustible fibers Location: T 0 Storage of scrap tires /etc. Location: ❑ Temp. membrane structures, tents, and canopies Location: Date & Times: ❑ Tire - rebuilding plants Location: ❑ Use/Storage of compressed gases Location: T s: ❑ Waste handling T ypes: ❑ Wood products T ypes. 3