MAIL TO Moore_alarmapp Moore Alarmapp
User Manual: moore_alarmapp
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MAIL TO: The City of Moore, City Clerk’s Office 301 N. Broadway Moore, OK 73160 Phone (405) 793-5020 Fax: (405) 793-5025 Alarm Permit / Business Identification Program Name of Resident/Business __________________________________________________________________ Street Address ____________________________________________________________________________ City/State/Zip_____________________________________________________________________________ Corporate Office (if different from above) ______________________________________________________ Home Phone ___________________ Business Phone __________________ Other Phone _______________ Emergency Contact Information List at least 2 people other than yourself at two different addresses; be sure to put in complete address 1ST Contact Name _________________________________________________________________________ Address ______________________________________________________________________________ City _______________________ State ________________________ ZIP _________________________ Home Phone ________________ Office Phone __________________ Other Phone __________________ 2ND Contact Name _________________________________________________________________________ Address ______________________________________________________________________________ City _______________________ State ________________________ ZIP _________________________ Home Phone ________________ Office Phone __________________ Other Phone __________________ 3RD Contact Name _________________________________________________________________________ Address ______________________________________________________________________________ City _______________________ State ________________________ ZIP _________________________ Home Phone ________________ Office Phone __________________ Other Phone __________________ Guard Dog on Premises/ Other Comments ______________________________________________________ ALARM SYSTEM YES / NO ( IF YES, THE ALARM INFORMATION BELOW MUST BE COMPLETED) Alarm Information A one-time permit fee of $25.00 must be submitted with this application. Please make checks payable to the CITY OF MOORE Alarm Company Name ___________________________________________ State License # _____________ Alarm Company Telephone Number (______)_________________________ Date Of Installation __________ Type/Coverage of Alarm ____________________________________________________________________ (Example : Burglar, Motion Sensors, Fire, Smoke Detector) Signature of Applicant ____________________________ Date ______________ Approval of City Clerk ___________________________ Date ______________ Approval of 9-1-1 Dir. ____________________________ Date ______________ BID # _____________ Map Page __________ Payment___________ CK# / Cash _________
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File Type : PDF File Type Extension : pdf MIME Type : application/pdf PDF Version : 1.4 Linearized : Yes Tagged PDF : Yes XMP Toolkit : 3.1-701 Producer : Acrobat Distiller 7.0.5 (Windows) Company : City of Moore Source Modified : D:20061117154316 Creator Tool : Acrobat PDFMaker 7.0.7 for Word Modify Date : 2006:11:17 09:51:23-06:00 Create Date : 2006:11:17 09:51:18-06:00 Metadata Date : 2006:11:17 09:51:23-06:00 Document ID : uuid:07000291-ae9b-41c0-8386-06a8cbb74eb2 Instance ID : uuid:ea123a95-718c-43c7-be0c-ebf4527f536b Version ID : 2 Format : application/pdf Title : MAIL TO: Creator : Accounting Department Subject : Headline : Page Count : 1 Page Layout : OneColumn Language : EN-US Author : Accounting DepartmentEXIF Metadata provided by EXIF.tools