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WESTERVILLE DIVISION OF POLICE
APPLICATION FOR ALARM PERMIT
Please type or print.
RESIDENTIAL
Date
ADDRESS
Permit #
NAME
PHONE (h)
(w)
OTHER KEY HOLDERS:
1.
NAME
PHONE (h)
(w)
2.
NAME
PHONE (h)
(w)
3.
NAME
PHONE (h)
(w)
Type of premises to be protected (i.e. 2-story, brick, ranch, wood
frame, stucco, etc.
ALARM COMPANY NAME
ADDRESS
CITY
STATE
ZIP
PHONE:
OFFICE
Control Center
TYPE OF SYSTEM: Burglar
Emergency Button Local
Fire
Central Monitoring
Other
I agree to abide by the provisions of Chapter 969
codified ordinances (hereinafter Alarm ordinance)
of the Westerville
and all rules and
regulations of the Westerville Division of Police and/or Fire in the
installation, maintenance, and operation of my alarm system.
I agree and acknowledge that the City of Westerville
makes
no
representations, express or implied, that my alarm system is acceptable
or fit for any particular purpose and I voluntarily
waive and release the
City of Westerville and its employees, officers and agents, from any and
all liability with respect to the operation of my alarm system ot the
approval, denial, or revocation of my alarm permit.
I fully understand that response to an alarm signal by the City of
Westerville, Division of Police and/or Fire, may require forcible entry
into the premises to ascertain the security of persons and/or property.
I authorize such action and agree to save and hold harmless the City-of
Westerville and its employees, officers and agents, from any damage
resulting therefrom.
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