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HomeMy WebLinkAboutAPPLICATION - 08-00579 - 202 Rigby Hall - BYUI New Student Orientation- Torches►_J CITY OF REXB URG _ ........................1.11.1_ c , _______ ----- .______ Arnerica .Harnfiy 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 #: $50.0� E AID: YES/ 0 PERMIT APPROVED: YES /NO BY: 1. - DATE fd Owner Information Parcel Number: Owner: o Phone Number: gq(D I9 Owner Mailing Address: LG Z l ai)l (D 2SZ (D 0 — tf Property Address: Business Name Where Work Will Be Office Address: Cell /Office Number: �3 I3_ 1 °( Office Phone Number: 2� Contact Person: Contact Phone #: Applicant Information _ Name: Alk'n � ME& Q it Name of Business: _ _ _ �'tl{ �1 " \ - r 11 � l� Add Contact Person: A�' /� Talq a PHONE NUMBER: qq(e °Z?0?L # Parade Route /Assembly Location: (Map required for Parades) SCHEDULE :VI � . � % To TIME: rl — T AU () I 1/i LoV A0PL S rAIVRE DATE 1 0 Permit # PLEASE CHECKTHE TYPE OF PERMITS 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: 0 ❑ 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: k Open flames /torches Location:34U - 1 Mta Wafly)� Cev &� - Time & Date: ❑ Operating amusement buildings Location: a r -I, ❑ Operating aviation facilities Location: ❑ Operating carnivals or fairs Location: Dates & Times: ❑ Organic coatings Types: 0 Places of assembly Location: Dates & Times: ❑ Private fire hydrants Location: ❑ Pyrotechnic special effects material (Fire works) Location: Types: 0 Pyroxylin plastics Types: ❑ Refrigeration equipment Types: ❑ Repair garages /motor fuel dispensing Location: ❑ Rooftop heliports Location: a ❑ Spraying or dipping 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: