HomeMy WebLinkAboutAPPLICATION - 07-00279 - BYUI - Student Spirit Events Torches•
C 1 .I, Y l> i-
R� a B (
;luK'�', !�> (i7ttrtlY 'city
•
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 #: '0:] MC91q
$50.00 FEE PAID YE /NO PERMIT APPROVED: YES /NO
BY: DATE:
Owner Information Parcel Number:
Owner: '� a - -T& Phone Number: yq (, - a3
Owner Mailing Address: L)CL) f Zi OO
Property Address: Cell /Office Number: qq(P — a 3 q3
Business Name Where Work Will Be Done:
Office Address:
Office Phone Number: ` gto- j B q 3 Contact Person: A116a 7aaQ Contact Phone #:
Applicant Information:
Name: Al l oan
Name of Business:
Ad
Contact Person: /711 iyL Jyy' s o r PHONE NUMBER: 9 q (D ";?-_3gi3 CELL #
Care uurri ncjk n 1 4 0 1 (P " 2 1 (e $
Parade Route /Assembly Location:
(Map required for Parades)
SCHEDULE: 0 0 `j TO TIME: 5 vt9Q — S : 0l 4ilh
7i a a
A AN S N TURE DATE
.......... In ■.■ b ■ 0 0 .. 0 0.\ 0 8 0 M E E 0 0 E 0 E 0 0 E 0 0 0 0 ..0000 0 0 00 0 0 0 0 0 M M ...... a M M M 0 M ........... ■ 1
1
• •
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:
❑ 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
❑ Operating aviation facilities
Location:
❑ Operating carnivals or fairs
Location:
Dates & Times:
❑ Organic coatings
Types:
❑ Places of assembly
Location:
Dates & Times:
❑ Private fire hydrants
Location:
❑ Pyrotechnic special effects material (Fire works)
Location:
Types:
❑ Pyroxylin plastics
Types:
❑ Refrigeration equipment
Types:
❑ Repair garages /motor fuel dispensing
Location:
❑ Rooftop heliports
Location:
AMk
❑ Spraying or ping
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:
o� R�,xxLxE.
� f G
July 11, 2007
Allen Jones
BYU -Idaho
202 Rigby Hall
Rexburg ID 83440
Dear Allen;
C I T Y OF
REXBI7RG
America's Family Community
•
Thank you for your application for the student spirit events. Chris Huskinson
with the Fire Department is requesting more information regarding this event.
Please fill out the enclosed application. Please include a site plan showing the
location.
For future activities please use this application for any fireworks /open flames
permits. Pass this application on to any others who will be responsible for
applying for permits. If you have any questions, please let me know.
Sincerely,
JaNell Hansen
JaNell Hansen Building Permit Coordinator 19 E. Main Rexburg, ID 83440 P. O. Box 280 www.rexburQ.orr
Phone (208) 359.3020 ext.326 Fax (208) 359.3024