HomeMy WebLinkAboutAPPLICATION - 07-00084 - Teton Lanes Bowling Alley - Fire Suppression SystemBull
19 E. Main
Rexburg, ID 83440
g Safety Department
City of Rexburg
jonellh @rexburg.org Phone: 208.359.3020
www.rexburg.org Fax: 208.359.3024
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Americas Family Community
APPLICATION: "CONSTRUCTION PERMIT"
CONSTRUCTIO RMIT #: LQDa� j
PERMIT APPROVE : YE NO $50.00 FEE PAID: YES /NO
APPROVED BY:
- APPLICANT INFORMATION:
Business Name: sD t .Z;:(.:P
Office Address: 2(c� /_ p6ct tll� rl
City
Office Phone Number: 2
Contractor Performing the Work:
State Zip
Contact Person: Cell Phone #
- LOCATION OF WORK TO BE DONE:
Street Address Where Work Will Be Done: gS �� • 2w <� -
Business Name Where Work Will Be Done:
Dates For Work To Be Done: 3 r Cs� — 7' To —�
Contact Person:
Phone Number: (J,�o 3576 -- Cell # ( )
PLEASE CHECK THE TYPE OF PERMITS) YOU ARE APPLYING FOR:
11" FIRE- EXTINGUISHING SYSTEMS
❑ COMPRESSED GASES
❑ FIRE ALARM AND DETECTION SYSTEMS AND RELATED EQUIPMENT
❑ FIRE PUMPS AND RELATED EQUIPMENT
❑ FLAMMABLE AND COMMBUSTIBLE LIQUIDS
❑ HAZARDOUS MATERIALS
❑ INDUSTRIAL OVENS
❑ LP -GAS
❑ PRIVATE FIRE HYDRANTS
❑ SPRAYING OR DIPPING
❑■
TEMPO
STRUCTURES, TENTS, AND CANOPIES
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Signature Date
7
❑ STANDPIPE SYSTEMS