HomeMy WebLinkAboutAPPLICATION & PLAN - 17-00265 - 1490 N 2nd E - Panda Express - Automatic Fire SystemRexburg -Madison CountyI`
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Emergency Services n EXB TT G
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35 N 10 E Ph One: 208.359.3020.2341 AmcricasFamily Cwnrrruniry
0 83440 www.rexburg,org Fax: 208.359.3022
APPLICATION: "CONSTRUCTION PERMIT"
CONSTRUCTION PERMIT #:
PERMIT APPROVED: YES/ NO $50.00 FEE PAID: YES/NO
APPROVED BY-
-APPLICANT INFORMATION:
Business Name: S a=P ' i C L- S C',
Office Address: L 1 o ),?l A_I i ar-fl
0; 20?
circ, Statc Zip
Office Phone Number: (Z() 3 ) ? ` fn 1-10
Contractor Performing the Work: F i))_t_ r~,L} + r f✓.S C, F _�_A N D
Contact Person: !) C Lk C. Cell Phone # ( ice) ? - O Ff5 2
-LOCATION OF WORK TO BE DONE:
Street Address Where Work Will Be Done: (H S 0 14 KI NA 2M) EAST
Business Name Where Work Will Be Done: PANI-DA
Dates For Work To Be Done: T IK Z) To
Contact Person: L►� ? ' I OAI, 7?LZC IM C
Phone Number: (1) 3;? - y 50 % Cell # ( )
AIAr-N C ,0Yr10C_ A626, (`71y) 9S (`ISOn
PLEASE CHECK THE TYPE OF PERMIT(S) YOU ARE APPLYING FOR:
AUTOMATIC FIRE -EXTINGUISHING SYSTEMS
❑ COMPRESSED GASES
❑ FIRE ALARM AND DETECTION SYSTEMS AND RELATED EQUIPMENT
❑ FIRE PUMPS AND RELATED EQUIPMENT
C FLAMMABLE AND COMMBUSTIBLE LIQUIDS
❑ HAZARDOUS MATERIALS
❑ INDUSTRIAL OVENS
❑ LP -GAS
PRIVATE FIRE HYDRANTS
❑ SPRAYING OR DIPPING
❑ STANDPIPE SYSTEMS
❑ TEMPORARY MEMBRA E TRUCTURES, TENTS, AND CANOPIES
C tractor's S'gna re Date
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