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HomeMy WebLinkAboutAPPLICATION - 13-00384 - 120 Snow Bldg - BYUI Theatre Dept - Operational PermitRexburg -Modison CountY EmergencY Services Phone: 208.372.2326 Fox: 208.359.3022 CiTY OII REXBURG Anc lca\ Fo1 nilY Co n1 n r tni {Y www.rexburg.org "OPERATIONAL PERMIT'' APPLICATION 35N l"E Rexburg, lD 83440 PERMTT o,lv -w394 /'$Ii'EA'lulr' I v - $s0.00 FEE PArD: Qpslso PERMIT APPROVED: YES/NO Owner: Phone Number: Owner Mailing Address: Propetty Addtess: Business Name Where Work N7ill Be Done: Cell/Office Number: Office Address: Contact Person:Contact Phone #:Office Phone Numbet: Applicant Information: Name: Name of Bu Address, / EA rz6 contactperson: &An\(k'XrS*-'HoNENUMB Paadle Route / l[sscro,b$Yt'ocetiorL: (Map lrequiftdl for Palr,des) #zog Tts olz3 ory' I Zot 3 OcT - x 2013 fl'l-rE PLEASE CHECKTHE TYPE OF PERMIT(S) YOU ARE APPLYING FOR: I Aerosol product manufacturing List of contents: ! Combustible dust-producing operations Location: Tvpe of dust: ! Coveredmallbuildings Location: ! Cryogenic fluids Types: I Cutting and welding operations Location: n Dry Cleaning plants Location: Types of Chemicals: tr Exhibits and trade shows Location: Type of Fire Extinguishers & Location: ! Explosives Location: Types: ! Fire hydrants and valves Locations: Types: tr Flammable and combustible liquids Types: n Floor finishing Types: ! Fruit and crop ripening Locations: Types: ! Fumigation and thermal insecticidal fogging Locations: Types: I Hazardous materials Locations: Types: I High-piled storage Location: Contents: tr Hot work operations Location: Dates & Times of Operation: ! HPM facilities Location: ! Industrialovens Location: Types: ! Large capacity battery systems Location: Type: n Liquid/gas vehicles/equip. in assembly buildings Location: Tvpe: ! LP gas transportation Location: Tvpe: ! Lumber yards/plants Location: tr Magnesium work Location: ! Misc. combustible storage Location: Tvpe: ! Open burning Location: Time & Date: ! Operating amusement buildings Location: ! Operating aviation facilities Location: n Operating carnivals or fairs Location: Dates & Times: ! Organic coatings Types: .fl,:J.l',: " U;;T"'ril. rL u, Dates&Times:OrXu /S -rilOrl ? ! Private fire hydrants Location: n Pyroxylin plastics Types: tr RefrigerationequiPment Types: ! Repair garages/motor fuel dispensing Location: tr Rooftop heliports Location: ! Spraying or dipPing Location: I Storage of combustible fibers Location: Tvoes: ! Storage of scraP tires/etc. Location: tr Temp. membrane structures, tents, and canopies Location: Date & Times: n Tire-rebuildingplants Location: ! Use/Storage of comPressed gases Location: Tvpes: ! Waste handling Tvoes: ! Wood products Tvpes: