HomeMy WebLinkAboutALL DOCS - 13-00402 - Windsor Manor Apartments - BlastingREXBLIRG
AMERICASFAMILY CoMMUN[rY 19 E, Main St
"OPERATIONAL PER M IT" APPLICATION
$50.00 FEE
BY:
Owner:
Owner Mailing
Property
Business Name Where Work Will Be
Office Address:
Office Phone Numben Contacl Person:
Applicant |.nformation :
Name:
Name of Business:
Re>dcurg, ldaho 83440
www.rexbu[o.oro
LAl89/2813 tZzE2 288-535-1 A7
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CITY OF
EAGLE ROCK BLASTING PAGE AL
Phone: 208.359-3020 x322. Fax:208-359_3024
cdd@rexburg.org
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L8/09/2813 L2:52 2AB-535-1 679 ROCK BLASTING PAGE A2
Permit #
EIEASE CHECKTHE TYPE OF ARE APPLYINGYOI[. Aerosol product manufacturing
List of contents:
P CombustiQle dust.produclng.per.tions
Location:
Type of dust:I Covered mafl buildings
Location:
D Cryogenic ftuids
Types:
! Cutting and welding operaiions
Location:n Dry Cleaning plants
Location:
Types of Chemicals:
! Exhibits and trade shows
Location:
Type of Fire Extinguishers & Location:
B Explosives
Lo""tioi- tii E 2d Jo* J L
Types: doash*Ji o.r- B l.s Il ^g
n Fire hydrants and valves
Locations:
Types:
B Flammable and combustibte liquiOs
Types:
-
tr Floor finishing
Types:
: Fruit and crop ripening
Locations:
Types:
-
u rumtgation andthermalinsecticidal
fogging
Locations:
Types:
!l-
Loca
Tvoe
uardous n
ions:
trH
Locat
Contr
gh-pileds
ion:
nts:
nH
Loca'
Date:
ltwork op
on:
& Times o
rations
Operation:
trH
Loca 'M facilitie
on: .trlr
Locat
Typer
Justrialov
on:
trL
Loca
Tvde
rrge capac
on:
:y battery systems
11 L
b
Local
Tvpe:
truid/gas v
iildings'
on:
hicles/equip, in assembly
trL
Locat
Tvpet
tgas trans
on:
rcrtation
trL
Local
mber yard
on:
lplants
IN
Local
rgnesium I
on:
rork
NM
Locat
Tvoe:
sc. combu
on:
rtible storage
DO
Loeal
rcn bumin
on:
I Date:Time
UO
Local
Time
nn flames
0n:
i Date:
lorches
!o
Local
erating an
0n:
usement buildings
IAlA9/2813 L2:52
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288-535-1 87
o PAGE A3
t.1 ' Operating aviation facilities
Location:n Operating carnivals orfairs
Location:
Dates & Times:
D Organlc coatings
Types:tr Places of assembly
Location:
Dates & Times:
n Private fire hydrants
Location:
F forotechnic special effects materia(Fire works;
Location:
Types:tr Pyroxylin plastics
Types:
D Refrigeration eguipment
Types:
! Repair garageslmotor fuel dispensing
Location:
! Rooftop heliports
Location:
Additional Information :
Xpress Bill Pay - Payment Processing
Account #
1300/,02
Billing Information
Kirk Hansen
, 83401
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REXBURG
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Transaction detail for paytnent to City of Rexburg.
; Transaction Number:226gg907pTI vba - )0fiX-)fiXX-xxxx-6i60
I! Status: Successfult-__.,_._'-*_
https : //www.ryressb i llpay.com/connnor/paymentlrrocess.phpo
City of Rexburg
35 Northlst East
Rexburg, lD 83440
208-359-3020
4o col, Frinter J t
Item
Fire Permit
Quantity ltem Arnount
1 $50.00
Datez 1011112013 - 3:13:4
TOTAL:
Extended Amount
s50.00
s50.00
Transaction taken by: amanda
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l0/ll/2013 3:13 PM