HomeMy WebLinkAboutAPPLICATION - 07-00074 - BYUI Spirit Week - Torch ParadeOF g6X B U Q C
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B�SHED `ea
C I T Y O F
REX
Americas Family Community
•
BUILDING SAFETY DEPARTMENT
19 E. Main St.
Rexburg, Idaho 83440
www.rexburg.org
Phone: 208-359-3020 x322
Fax: 208-359-3024
cdd@rexburg.org
"OPERATIONAL PERMIT" APPLICATION PERMIT # �n CJ oci g
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$50.00 F E P : YES /NO ERMIT APPROVED YE NO
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RVP _'DATE:
Owner Information Parcel Number:
Owner: iS K (k - Phone Number: �ya _ 1 %%
Owner Mailing Address: wr ? 2 t
t° o. ,, r� ,
LO . �.�
%.3 q60 " O1007
Property Address:
Cell /Office Number:
7 �(—
�/ 6 �- 3
Business Name Where Work Will Be
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Office Address: SCX^___e_ C-S a- bev Z_-.
Office Phone Number: �Ok �- /�q% Contact Person: �r Contact Phone #: �(�- b Z3
Applicant Information:
Name: "i ;ems =M k a-,
Name of Business: 'C3 K LA� T &UL-_n
Address: x c. d- t l ve
Contact Person: k VA_ PHONE NUMBER: V A CELL # �'y 1 ' 9 6 Z 3
Parade Route /Assembly Location:
(Map required for Parades)
SCHEDULE. (O = �� TO b : V TIME.
C GNATURE DATE
•
Permit #
PLEASE CHECKTHE TYPE OF PERMIT(S) YOU ARE APPLYING FOR:
❑ Aerosol product manufacturing
List of contents:
❑ Combustible dust - producing operations
Location:
Type 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: Jca► -� Sew
❑ Floor finishing
Types:
❑ Fruit and crop ripening
Locations:
Types:
❑ Fumigation and thermal insecticidal
fogging
Locations:
Types:
❑ Hazardous materials
Locations:
Types:
❑ High -piled storage
Location:
Contents:
❑ Hot work operations
Location:
Dates & Times of Operation:
❑ HPM facilities
Location:
❑ Industrial ovens
Location:
Types:
❑ Large capacity battery systems
Location:
Type:
❑ Liquid /gas vehicles /equip. in assembly
buildings
Location:
Type:
❑ LP gas transportation
Location:
Type:
❑ Lumber yards /plants
Location:
❑ Magnesium work
Location:
❑ Misc. combustible storage
Location:
Type:
❑ Open burning
Location:
Time & Date:
❑ Open flames /torches
Location:
Time & Date:
❑ Operating amusement buildings
Location:
r
K ❑ Operating aviation facilities
Location:
❑ Operating carnivals or fairs
Location:
Dates & Times:
❑ Organic coatings
Types:
❑ Places of assembly
Location:
Dates & Times:
❑ Private fire hydrants
Location:
V Pyrotechnic special effects material (Fireworks)
Location:
Types:
❑ Pyroxylin plastics
Types:
❑ Refrigeration equipment
Types:
❑ Repair garages /motor fuel dispensing
Location:
❑ Rooftop heliports
Location:
r
❑ Spraying or ipping
Location:
❑ Storage of combustible fibers
Location:
Types:
❑ 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:
Types:
❑ Waste handling
Types:
❑ Wood products
Types:
Additional Information:
0
BYU -IDAHO
EMERGENCY PHONE & AED
LOCATION MAP
,_.._..:.� • �ti Emergency
�e I Phone
h yrt KJ� Additional Precautions: 1 � � �
Automated
I �' C External
• Neverjog orw alk * Deflbrillators
alone after dark
• Walk to and from your
apartment in groups
C y � ff /
➢ Never leave valuables � ° f A�
unattended
7 [
➢ Lock your doors
2
➢ Report suspicious
activity immediately to
the campus police
For information on the
after dark safety escort
service, contact the
campus police dispatch .' _ ._ _....
tV
office at 496 -3000 r 17- C. f� a
s
ODA
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C � _
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t 1, 3
2 f
a
Sports Medicine Room
Hart 169B
Phone: 496 -2109
Cell: 709 -6421
13