Scottsdale Alarm Permit Form

Dear Applicant Attached is the City of Scottsdale Alarm User Permit application. Please complete the application and return with the 10. ScottsdaleAZ. gov Staff Use Only ALARM USER PERMIT APPLICATION Alarm User Permit 7447 E. Indian School Rd. Suite 110 Scottsdale AZ 85251 Telephone 480 312-2400 www. ScottsdaleAZ. gov/alarms Fee 10. 00 To Applicant For an overview of Alarm User responsibilities visit the City of Scottsdale web site listed above. 00 application fee to the City of Scottsdale Tax and License Registration office. Our mailing address is City of Scottsdale P. O. Box 1570 Scottsdale AZ 85252-1570 Applications are to be returned no later than 7 days after the owner of the alarm system places it in a state of readiness. The service charge for false alarms is as follows First and second Third Fourth Fifth and Sixth Seven or more 50. 00 75. 00 100. 00 each If you have any questions please contact the Tax and License Registration office at 480 312-2400 or visit our website www. ScottsdaleAZ. gov Staff Use Only ALARM USER PERMIT APPLICATION Alarm User Permit 7447 E* Indian School Rd. Suite 110 Scottsdale AZ 85251 Telephone 480 312-2400 www. ScottsdaleAZ. gov/alarms Fee 10. 00 To Applicant For an overview of Alarm User responsibilities visit the City of Scottsdale web site listed above. Alarm Type Residential Business 1. Alarm User or Business Name 2. Service Address City Date Placed into Operation SCOTTSDALE State AZ Zip Code 3. Mailing Address if different than above 4. Home Phone - Other Phone E-Mail 5. Responsible Representatives Required - application cannot be processed if left blank Name Phone Number 6. Alarm Installation Company Monitoring Company and Agent Information Installation Co Monitoring Co Alarm Agent 7. Type of Alarm System check all that apply 8. Date system was last inspected Burglar Medical Fire New Alarm System Panic Yes No INFORMATION ON THIS APPLICATION MAY BE SHARED WITH YOUR ALARM SERVICE PROVIDER I HEREBY CERTIFY THAT MY ALARM SYSTEM HAS BEEN INSPECTED AND IF NECESSARY MAINTAINED BY A LICENSED ALARM BUSINESS OR THE PRIMARY USER OF THIS SYSTEM. I HAVE BEEN INSTRUCTED ON HOW TO USE THIS SYSTEM. THE ABOVE INFORMATION IS ACCURATE TO THE BEST OF MY KNOWLEDGE* I ALSO ACCEPT COMPLETE RESPONSIBILITY FOR ANY AND ALL CHARGES AND/ OR FEES ACCRUED BY MY ALARM SYSTEM IN ACCORDANCE WITH THE CITY OF SCOTTSDALE ALARM ORDINANCE NO. 3795. Applicant Signature Date Official Schedule of City of Scottsdale Rates and Fees at www. scottsdaleaz. 00 application fee to the City of Scottsdale Tax and License Registration office. Our mailing address is City of Scottsdale P. O. Box 1570 Scottsdale AZ 85252-1570 Applications are to be returned no later than 7 days after the owner of the alarm system places it in a state of readiness. O. Box 1570 Scottsdale AZ 85252-1570 Applications are to be returned no later than 7 days after the owner of the alarm system places it in a state of readiness. The service charge for false alarms is as follows First and second Third Fourth Fifth and Sixth Seven or more 50.