City of Alhambra
Alarm System Permit Application

Address and Applicant Information


Type
select

Applicant/Business Name  
Alarm Location  
City State Zip
Same as Alarm Location

Billing Address
Billing City Billing State Billing Zip


If Commerical:  
Business License #   Expiration Date:
RadDatePicker
RadDatePicker
Open the calendar popup.
 

Contact Information

Contact Person: Primary Phone
Business Phone #: Cell Phone #: Email

System Information

Type of System Installed
select

Alarm Company Responsible for Maintenance of System:

Company Name   Phone #
Company Address
City State Zip

Contact Person 1 Phone 1 #
Contact Person 2 Phone 2 #

All information on this application shall be kept current and the applicant agrees to correct any information within 10 days of any changes. (ALARM PERMIT IS NOT TRANSFERABLE)

Executed this I, by submitting this application accept the conditions and declare under penalty of perjury the foregoing is true and correct.

Please sign your name below, by dragging your mouse over the signature line or by using your finger on touch screen enabled device.