CITY OF MESQUITE
COMMERCIAL
ALARM PERMIT APPLICATION

INSTRUCTION TO APPLICANT:  (PLEASE CLICK HERE TO READ THE ALARM ORDINANCE INFORMATION)

THIS APPLICATION MUST BE FILLED OUT COMPLETELY. PERMIT WILL BE ISSUED to THE INDIVIDUAL WHOSE NAME APPEARS IN THE PERMIT HOLDER FIELD. MAKE CHECK OR MONEY ORDER PAYABLE TO THE CITY OF MESQUITE, ALARM PROGRAM.

MAKE CHECK OR MONEY ORDER PAYABLE TO THE CITY OF MESQUITE ALARM PROGRAM. PAYMENTS MAY BE MAILED TO 777 N. GALLOWAY AVE., MESQUITE, TX 75149 ATTENTION: ALARM AND IMPOUND OFFICER

Commercial Place of Worship Gov. Agency Data Change
Name of Business
Alarm Site Address
Alarm Site phone 1 Alarm Site phone 2 Alarm Site phone 3
Mailing Address
City State Zip
Permit Holder
Permit Holder phone1 Permit Holder phone2
Burglary Panic Robbery
Audible    Silent    NA Alarm Provider
***** Emergency Contact(s) to secure the Alarm Site when the Mesquite Police Department Arrive *****
Contact Person #1 Name
Phone # Phone #
Contact Person #2 Name
Phone # Phone #
Contact Person #3 Name
Phone # Phone #
Your Name Date