CITY OF OAK PARK

  
"The Family City" Mayor
  Gerald E. Naftaly
Department of Public Safety Mayor Pro Tem
  Willie Horton
  Council Members
  Angela Diggs Jackson
  Paul Levine
  Michael M. Seligson
 

Emergency Alarm Permit Application
 
Address Of Alarm:
Name Of Business:
Phone:
 
Owner Of Premises
  Name:
  Home Address:
  Home Phone:
  Business Phone:
Lessee Of Premises
  Name:
  Home Address:
  Home Phone:
 
Alarm Installer And/Or Service Co.
  Name:
  Address:
  Phone:
 

List persons responsible for extinguishing or resetting the alarm or device, checking the premises, or responding to notice from the Department of Public Safety of an activation of the alarm.  Also indicate which of the following may have a key:
 
  Name:
  Address:
  Phone:
  Name:
  Address:
  Phone:
  Name:
  Address:
  Phone:
       
Description Of Alarm System:
 
The holder(s) of an emergency alarm permit shall notify the Department Of Public Safety immediately of any changes to the information provided in the application for the permit.
 
The Emergency Alarm Permit Is Non-Transferable.
 
“Owner and/lessee has been provided and read a copy of the emergency alarm system ordinance with the full knowledge and understanding of the provision of this ordinance and their duties and liabilities under the ordinance. And that, if applicable, they consent to the department of public safety disabling or disconnecting a local alarm under circumstances described in section 35-4 of the emergency alarm permit ordinance.”
 
                                                           
Signature Of Property Owner
 
                                                           
Signature Of Lessee
 

Notice To Property Owner:
If you wish a copy of the false alarm notice and any billings regarding the lessee sent to you, please sign here:
 
                                                           
Signature Of Property Owner
 
Please sign and return this form with a check or money order for $12.00 payable to "City of Oak Park" to:
 
Oak Park Department of Public Safety
Records Bureau
13600 Oak Park Blvd
Oak Park MI 48237

13600 Oak Park Boulevard, Oak Park, MI 48237 Phone: (248) 691-7526 Fax: (248) 691-7161 TDD: (248) 691-7174

Web: www.ci.oak-park.mi.us