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APPLICATION - 08-00417 - BYUI Student Spirit Events - Torch Event
$50.00 FEE PAID: YES NO PERMIT APPROVED: YES /NO BY: �� DATE: 9 Owner Information: Parcel Number: Owner: 10inho Phone Number: - 2-0 1 K — 4 19 �o' ,6q Owner Mailing Property Address: 4 0 Cell /Office Number: Business Name Where Work Will Be Done: e e - ; oleat 5Pi Y t- �Ve Office Address: k1 , Y-o xlovnz J kD S (oo Office Phone Number: �°� 10 - 2 U Antact Person: Ai �c h 0 nes Contact Phone #: - 20 :O ILT licant Information: 1 Name of Business: Address: 0 Contact Person: - Allel'1 jOrW, Or IIy PHONE NUMBER 2V6-L*1h Zl loll CELL # 2-0 - 313- M2- jc ')S1 Parade Route /Assembly Location: WaA to d ywyn Yl noo n yVat h n Gerti -ev (Map required for Parades) SCHEDULE. TO TIME: & * 0Q j — 7' 0XM 1 0 0 0 0■...... �(,. -)Oz ■0000000000000000000000000■ 0 E0EE DATE .. 00000000000000000000000000000 ■ 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: X Open flames /torches Location: \*V� �211 (NWRJ Time & Date: ;50 — -. �o ❑ Operating amusement buildings Location: Alk ❑ 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: ❑ Spraying or wing 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: