HomeMy WebLinkAboutAPPLICATION FIRE SYSTEM - 18-00595 - 156 N 2nd E - Shelfology Office RemodelRexburg -Madison County COQ pERBUgr I'
Emergency Services ��t►
3S N 1�1 E Phone; 208,359.3020.2341
Rexburg, ID 83440 www,rexburg.org Fax; 208,359.3022
C I TY OF
REXBURG
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Arnerica' Family Cammanily
APPLICATION: "CONSTRUCTION PERMIT"
CONSTRUCTION PERMIT #:
PERMIT APPROVED: YES/ NO $50.00 FEE PAID: YES/NO
APPROVED BY:
-APPLICANT INFORMATION:
Business Name:
Office Address: (r^ 1 C 1M A -I ! WLI) 1 -
City
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State Zip
2—
Office
Office Phone Number: (�C) ' . -L ' �S (v14 U /
Contractor Performing the Work: G. U-) 1A 1 41 i�( w
Contact Person: t,{ Cell Phone # (21L)
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-LOCATION OF WORK TO BE DONE:
Street Address Where Work Will Be Done: ' `-N D
Business Name Where Work Will Be Done: S 11.1-JPo loAG ( 7 yy6
Dates For Work To Be Done: Pv& `- ' AI r'` To u f • T } %
Contact Person: T�Cs-t-] IREAAN 00
Phone Number: dic� ZZ/L/- /('113 Cell # Qtl '7 �` ZS.
PLEASE CHECK THE TYPE OF PERMIT(S) YOU ARE APPLYING FOR:
9 AUTOMATIC FIRE -EXTINGUISHING SYSTEMS ?A?'NT
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O COMPRESSED GASES PP Y
❑ FIRE ALARM AND DETECTION SYSTEMS AND RELATED EQUIPMENT
❑ FIRE PUMPS AND RELATED EQUIPMENT
❑ FLAMMABLE AND COMMBUSTIBLE LIQUIDS
❑ HAZARDOUS MATERIALS
❑ INDUSTRIAL OVENS
❑ LP -GAS
❑ PRIVATE FIRE HYDRANTS
❑ SPRAYING OR DIPPING
❑ STANDPIPE SYSTEMS
❑ TEMPORARY =E STRUCTURES, TENTS, AND CANOPIES
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ntractor s Si ture Date
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Standard 'Pant Leg'
Back Draft Palnt Spray Booth
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No. Equipment Model No.
I :Is 45 TP t*
z -Is 18 —1 PAN
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NOTE,
THIS IS A CONCEPTUAL DRAWING.
THE FIRE SUPPRESSION SYSTEM
ILLUSTRATED CONSTITUTES NOMINAL
HARDWARE REQUIREMENTS,
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