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HomeMy WebLinkAboutAPPLICATION - 06-00090 - BYUI Stadium - Torches e i ~ ~"~~?,~„ CITY QF ~`~ ~~ AMERICA'S Ft1MILY CC?h1MUN17Y 19 E. Main St. Phone: 208-359-3020 x322 4~t~~p Rexburg,ldaho 83440 Fax:208-359-3024 www.rexburo.orp cdd@rexburg.org "OPERATIONAL PERMIT" APPLICATION PERMIT #: dl.P C~ $50.00 FEE PAID:/ 0 PERMIT APPROVE .~ Y^S 0 BY•~ ~!~:~(,-~.~ ~~' DATE: ~ ~ !f ~` ~/~ Owner Information: Parcel umber: Owner: Owner Mailing Add Number: Property Address: Cell/Office Number: Business Name Where Work Will Be Do Office Address: Office Phone Number: Contact Person: Contact Phone #: Name Name of Business: 1~lir~~( - ~'l0 ; Contact Person: E NUMBER: Lt~ ' .3 ~-G~ CELL # Parade Route /Assembly Location: ~ ! c.-C --1 e (Map required for Parades) _,. .. O d~ ~`°~ TO ~ ~ O C~ `~? ~ ` TIME: ~,l / ~ U ~' P Ii '~ FEB 2 3 2016 ~ 4`' .~, / '. - ~.~._ APPLICANTS SIGNAT RE DAT 1 Permit # ^ Aerosol product manufacturing List of contents: ^ Combustible dust-producing operations Location: T pe of dust: ^ Covered mall buildings Location: ^ Cryogenic fluids Types: ^ Cutting and welding operations Location: ^ Dry Cleaning plants Location: Types of Chemicals: ^ Exhibits and trade shows Location: Type of Fire Extinguishers & Location: ^ Explosives Location: Types: ^ Fire hydrants and valves Locations: Types: ^ Flammable and combustible liquids Types: ^ Floor finishing T pes: ^ Fruit and crop ripening Locations: Ty es: ^ Fumigation and thermal insecticidal fogging Locations: Types: PLEASE CHECKTHE TYPE OF PERMITS YOU ARE APPLYING FOR: ^ Hazardous materials Locations: Types: ^ High-piled storage Location: Contents: ^ Hot work operations Location: Dates & Times of Operation: ^ HPM facilities Location: ^ Industrial ovens Location: Types: ^ Large capacity battery systems Location: T pe: ^ Liquid/gas vehicles/equip, in assembly buildings Location: T e: ^ LP gas transportation Location: T pe: ^ Lumber yardslplants Location: ^ Magnesium work Location: ^ Misc. combustible storage Location: T e: ^ Open burning Location: Time & Date: Open fla es/torches Location: ~~' ~ ~~ ~` u "'~ Time & Date: /y ~. ,~ ^ Operating amusement buildings Location: