Alarm Permit Form - Manteca Police Department, Ca

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City of Manteca
MANTECA POLICE DEPARTMENT
1001 W. Center Street
Manteca, CA 95337
(209) 456-8108
Permit#_________________
ALARM PERMIT
(Type or Print)
LOCATION OF ALARM:
(Street Address of Location)
(Apt. or Ste.)
NAME OF RESIDENT OR BUSINESS LOCATED AT THE ABOVE ADDRESS:
Business Name:
Business Lic. No.
Applicant’s Name:
Tenant ☐
Owner ☐
Applicant’s Signature:
Date:
Applicant’s Phone No.:
(Cell)
(Home)
(Work)
ALARM COMPANY INFORMATION
Alarm Company Name
Phone Number
EMERGENCY CALL LIST
1)
First Name
Last Name
Address
City
Zip
Cell No.
Work No.
Home No.
2)
First Name
Last Name
Address
City
Zip
Cell No.
Work No.
Home No.
ST
ST
– YOU MUST RENEW ANNUALLY BY JANUARY 31
PERMIT EXPIRES DECEMBER 31
COMPLETE AND RETURN TO THE MANTECA POLICE DEPARTMENT
Mail to the above address or Fax to (209) 923-8938

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