Alarm Application

2. 

4. ALARM APPLICATION

6. New Alarm Permit or Renewing Alarm Permit:*

   1. New ($25 per year)

   1. Renewal ($10 per year)

   Payment can be made in office, mailed or left in the after hours drop box.

7. Alarm Type:*
   -- Select One --BurglarFireBurglar & Fire

9. Property Address:*

11. Contact Information

13. Tenant:*

14. Home Owner:*

16. Home Phone Number:*

17. Cell Phone Number:*

19. E-Mail Address:

21. Primary Contact Person:*

22. Phone Number:*

24. Emergency Contact Person:*

25. Phone Number:*

27. Alarm Company:*

28. Phone Number:*

30. I have been given a copy of the Fire Alarm and/or Burglar Alarm ordinances and understand my responsibility as set forth in these ordinances.

    I have been given a copy of the Fire Alarm and/or Burglar Alarm ordinances and understand my responsibility as set forth in these ordinances.

31. Burglar Alarm Ordinance

    click here for ordinance

32. Fire Alarm Ordinance

    click here for ordinance

34. Signature: *

35. Date:*

37. Internal Use Only

39. Effective Date: ______________

    Effective Date: ______________

40. Expiration Date: ________________

    Expiration Date: ________________

41. Permit Number: _______________

    Permit Number: _______________

43. Approved by: _____________________________

    Approved by: _____________________________

44. Date: ________________

    Date: ________________

48. Phone: 972-771-4601 Opt: 2

    Phone: 972-771-4601 Opt: 2

49. E-Mail: Utilities@CityofFate.com

    E-Mail: Utilities@CityofFate.com

50. Fax: 972-722-8266

    Fax: 972-722-8266

Leave This Blank:


52. 1. Receive an email copy of this form.
53. Email address

    This field is not part of the form submission.

54. Submit Submit and Print

* indicates a required field