HomeMy WebLinkAboutALL DOCS - 08-00010 - 3-D Fire Protection Inc - Fire Safety Certification2085258381
Jan. 4. 2008 �:2 0
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Amarfat' Fcrnfly Community
"SAFETY S'Y'STEM
CERTIFICATION PERMIT"
APPLICATION
0 No, 5598 P. 1
BUILDING SAFIITY DE PARTMENT
19 E. Alain St.
Rexburg, Idaho 83440
sm- ONIMmm
$100 Fee
phone; 206399,30203=8
Fax. 208469,'i024
lafo m urg.org
714
safety sys*m cwtfacgxiox,permit u required to rnstaA mdj , maantain, or ,cer cr all new and ea rAq
fin e%fpubers, fm sir, pm=on systems, fire alarm sys s, and other # safety gskms witdfn Abe Csty of
Rex .,
BIMMSS NAME
� P � B U Y� 508
OFFICE ADDREWt
o>mct PHom mw mu _ 5 �16 -8 '6-77 w
CONTACT PMom K cFu mo?a
PLEASE IDEN'TM SYSTEMS TO BE COVERED BY THIS PERMIT- CEMCK ALL THAT
APPLY,
FIRE ALARM SYSTEMS - Alarm Contractors shall have a minimum of NICET Level 1
Cerdficadcos or equivalent.
PLEASE PROVIDE CERTIFICATIONS:
�'NICRT Certification
+P=eel Cetaftcation
4Proof of Liability Insurance
AUTOMATIC SPRI?kM ER SYST EMS * Fite Sprinkler Contracton shall have a mi-nim, of
NICET Level III Certifications or equivalent.
4 0 1PLEASE PROVIDE CERTIFICATIONS:
+NICET Certification
+A.uy Additional Cerdficadons
+Proof of Liability Insurance
FIRE OMNGLISHRPS LSTANDPIPE SYSTEMS SMOKE CONTROL SWT'EMS
�- SPECJAL HAZARD SYSTEMS .FIRE PUMPS
AUTOMATIC FIRE EXTINGUISHING SYSTEMS FOR COMMERC COOMNG
*"PEEABBPROV MB DOCVMENTA270NOFTRAMWOLEVEL5, INSTAILA2WMC9RT,lFIl:A170A%
cc -�q& LZARMr YINSURANM B= FOR ALL DXS'fX',f t v7W*+ *
3 D FIRE PROTECTION PAGE 02/06
01/04/2008 03:59 2085258381 3 D FIRE PROTECTION
Jan, I, 2008 3.29PM • •
SU92NESS I NAMM
PLEASE LIST ALL COMPANIES YOUR BUSINRBS IS AUT14ORr2RD TO REPRESENT..
COMPA,.NY NAME:
PHONE #:
COMPANY NAME: PHONE #:
COMPANY NAME: PHONE #: _
**�*PLEA.CT LIST ADDITIONAL COMPANY AUTHORIZATIONS ON THE
I ' ttuft I have read this appllcadnn and deelsre under pa ly of perjury that the infomnstim eentaated
COMPly with a city ordinaaeen, adopted codes, cad atme lows reladap M the iostaUatloa, mod+�etion, serr7
life saibr systtma. I hereby authorise ImmeAt atives of thin OW to inspect any - for compliant putpo
the work, Of represent the owner as 04pd icd abovt; and am acting wit$ the owners /contractor's full as
&— L Qrl Ue/ 1 v
PRIN OF PLICANT APPLICANT'S SIGN TU:
PAGE 03/06
No. 5598 P. 2
OF THIS FORM'
t d b correct and complete. I agues to
matnten"m of new and mbdng
am either the contractor mspomble for
+t or consent
DATE PERMIT VALID UNTIL DECEMBER 3 2007
- - - - - - - - - - - - - - - �, ( aa�s'
SAFETY
SYSTEM
CERTIFICATION
3 -D Fire Protection Inc.
6312 S Burggraf Way
Idaho Falls ID 83405
PERMIT# OS 00010
�
2008
r-A
r.:SHeU 1
C I T Y O F
SIGNATURE
.Americas Family Community .
DATE
VALID THROUGH DECEMBER 31, 2008
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