HomeMy WebLinkAboutFIRE SERVICES OF IDAHO APPLICATION - 21-00851 - Cupbop - Korean BBQ - RemodelEXBURG Rexburg-Madison County
Emergency Services
CITY OF
REXBURG
America's Family Community Phone: 208.359.3020.2341
Fax: 208.359.3022
35 N 1st E
Rexburg, ID 83440 www.rexburg.org
APPLICATION: "CONSTRUCTION PERMIT
CONSTRUCTION PERMIT#:
PERMIT APPROVED: YES/ NO $50.00 FEE PAID: YES/NO
APPROVED BY:
APPLICANT INFORMATION:
Business Name: Fie SeRviLE8_ OFAAHO
Office Address:elO M 11ARD JT.Cubb uuk TDAHO 83202
State Zip City
Office Phone Number: (20_) 232- 3(o4O-
Contractor Performing the Work: Dou&WhtiG
Contact Person: OULG_ WhtiNA
-LOCATION OF WORK TO BE DONE
Street Address Where Work Will Be Done: 1G0 J MAI S1:
Business Name Where Work Will Be Done: Cup bo p
Dates For Work To Be Done: 2
Contact Person: MI KE BEVANS
Phone Number: ( -
Cell Phone #2d 8) 2SI- 0gs2
To
Cell # (801) 787- 290l%
PLEASE CHECK THE TYPE OF PERMIT(S)YOU ARE APPLYING FOR:
AUTOMATIC FIRE-EXTINGUISHING SYSTEMS
COMPRESSED GASES
FIRE ALARM AND DETECTION SYSTEMS AND RELATED EQUIPMENNT
FIRE PUMPS AND RELATED EQUIPMENT
O FLAMMABLE AND COMMBUSTIBLE LIQUIDS
HAZARDOUS MATERIALS
INDUSTRIAL OVENS
LP-GAS
PRIVATE FIRE HYDRANTS
SPRAYING OR DIPPING
DSTANDPIPE SYSTEMS
TEMPORARY MEMBRANE STRUCTURES, TENTS, AND CANOPIES
/
Contractor's gnatire
IE 12-202)
Date