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Alarm Permit Application - Commercial

2. Commercial Alarm Permit Application Permit #
4. Please Check One Box Below*

   1. New Permit

   1. Renewal Permit

   1. Permit Changes

   1. Exempt
6. Name of Business
8. Physical Address of Alarm Site
10. City
11. State
12. Zip Code
14. Billing Address
16. City
17. State
18. Zip Code
20. Home Phone
21. Business Phone
22. Cell Phone
24. Email Address
28. Persons to Respond to Alarm
30. Name
31. Key HOlder

    1. Yes

    1. No
33. Home Phone
34. Business Phone
35. Cell Phone
37. Name
38. Key Holder

    1. Yes

    1. No
40. Home Phone
41. Business Phone
42. Cell Phone
46. Alarm Company
48. Name
49. Phone Number
51. Address
53. City
54. State
55. Zip Code
57. Please print the completed application, include the $50 permit fee and mail or drop off at the following address:
    Elgin Police Department, 202 Depot Avenue, Elgin, Texas 78621, 512-285-5757
59. I have carefully read the complete application and know the same is true and correct and hereby agree that if a permit is issued, I will comply with all provisions of Ordinance #2010-07-20-11 and applicable State Laws. I accept responsibility for payment of all fees and fines resulting form operation of the alarm system serving the above residence.
    Signature of Permit Holder
61. Date
Leave This Blank:


62. Print Only

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