HomeMy WebLinkAboutAPPLICATION - 06-00086 - Arctic Circle - Fire Suppression System02/21/2006 17:13 FAX 2082320449 FIRE SERVICES OF IDAHO C~7J002
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Cll'Y OF
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AMERJCAS FMALY COMMWW'IY • 19 E. Mal
• R~~~~. Artic Circle-Fire Ext. System
210N2ndE
APPLICATION: "CONSTRUCTION PERMIT"
CONSTRUCTION PERNIIT #:
PERMIT APPROVED: YE5/ NO $0.00 FEE PAID: ~/N'O
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APPROVED BY:
BUSINESS NAME: _
OFFICE ADDRESS:
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OFFICE PHONE NUMBER:
CONTACT PERSON: ~l
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PHONE # ~.~ ~,F'! -oJ~~
-LOCATION OF WORK TO BE DONE:
STREET ADDRESS WHERE WORK WILL BE DONE; Z,! ~ ~~'~ -~ ~`~
BUSINESS NAME WHERE WORK WILL B D NE: IC G
DATES FOR WORK TO BE DONE; TO
CONTacT PERSON:
PHONE NUMBER: (Qb,Q'" 1 ~~Z - ,?G~{v CELL # (~._) -•3f3(~
PLEASE CHECK THE SYPE OF PERMR(S) YOU ARE APPLYING FOR:
~' AUTOMATIC FIRE•EXTINGUISHING SYSTEMS
^ COMPRESSED GASES
^ FiRE ALARM AND DETECTION SYSTEMS AND RELATED EQUIPMENT
^ FIRE PUMPS AND RELATED EQUIPMENT
^ FLAMMABLE AND COMMBUSTIBLE LIQUIDS
_ ^ HAZARDOUS MATERIALS
• ^ INDUSTRIAL OVENS
0 LP-GAS
^ PRIVATE FIRE HYDRANTS
~^ Y ~ NE STRUCTURES, TENTS, AND CANOPIES
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^ SPRAYING OR DIPPING-
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/VMERlCAS FAMM.Y COMMUNfTY 19 E. Main St. ~ Phone: 208-359-3020 x326
Rexburg, Idaho 83440 Fax: 208-359-3024
vwvw.rexbura.ora cdd@rexburg.org
APPLICATION: "CONSTRUCTION PERMIT" ~r
CONSTRUCTION PERMIT #: ~ ~:Q ~~C`Lp
PERMIT APPROVED: YES/ NO $50.00 FEE PAID: /NO
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APPROVER BY:
-APPLICANT INFORMATION:
BUSINESS NAME: 1 ~~. ~~ ~~ I ~~ /,(~,~
OFFICE ADDRESS: ~t~C.~-Tf t~,~ _ ~ ,, . A ~~
OFFICE PHONE NUMBER:1 ~R" ) 2~~- - ", ~ mot. zip
CONTACT PERSON: ~ /' CELL PHONE # (~~) y-,~J -y,7~~'
-LOCATION OF WORK TO BE DONE:
STREET ADDRESS WHERE WORK WILL BE DONE: ~J (~ /~ ~~ ~ ~.I~.xG~ (..~_
BUSINESS NAME WHERE WORK WILL B D NE: .C !~ C C~
DATES FOR WORK TO BE DONE: TO .~
CONTACT PERSON: "
PHONE NUMBER: ~b ) ~-~,~ - ,?G~/o CELL # (~_ l ~ ~/~-~'~"~~
PLEASE CHECK THE w YPE 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
^ FLAMMABLE AND COMMBUSTIBLE LIQUIDS
^ HAZARDOUS MATERIALS
^ INDUSTRIAL OVENS
a LP-GAS
^ PRIVATE FIRE HYDRANTS
^ SPRAYING OR DIPPING.
^ STANDPI~ SYSTEMS
^ Y NE STRUCTURES, TENTS, AND CANOPIES
CSC
A PLICANTS SIGNATURE D