city of austin alarm permit cancellation permit no. - AustinTexas.gov

city of austin alarm permit cancellation permit no. - AustinTexas.gov

CITY OF AUSTIN ALARM PERMIT CANCELLATION PLEASE PRINT ALL INFORMATION CLEARLY AND COMPLETELY PERMIT NO.:__________________ ALARM SITE ADDRESS________...

15KB Sizes 0 Downloads 20 Views

CITY OF AUSTIN ALARM PERMIT CANCELLATION PLEASE PRINT ALL INFORMATION CLEARLY AND COMPLETELY

PERMIT NO.:__________________ ALARM SITE ADDRESS___________________________________________________________________________________________ INCLUDE SUITE OR APT # CITY STATE ZIP CODE PERMIT HOLDER NAME LAST NAME

(

)________________ ( HOME PHONE #

)

( BUSINESS PHONE #

FIRST NAME

)

MIDDLE INITIAL

/

DRIVER’S LICENSE CELL/PAGER #

STATE

NUMBER

E-MAIL ADDRESS_________________________________________

Provide brief explanation as to why permit is being cancelled. ______________________________________________________________________________________ NOTE: 1. If you have discontinued your monitoring service, but continue to operate your alarm system and it emits an audible sound, you are still required to have a permit. 2. Please do not submit permit renewal fees if you are cancelling your permit. 3. Your permit cannot be cancelled if there are any outstanding false alarm fees due on your accounts. 4. A change of address, business, or name requires the issuance of a new permit. If you have any questions, please contact the Alarm Unit between 8 a.m. and 4:30 p.m., Monday through Friday at (512) 974-5730. Fore additional information, visit our website: http://www.austintexas.gov/department/alarm-administration

DATE

SIGNATURE OF PERMIT HOLDER ____________________________________________________ PRINT NAME

MAIL CANCELLATION REQUEST TO: OR FAX TO: (512) 974-6697

APD ALARM ADMINISTRATION AUSTIN POLICE DEPARTMENT P. O. BOX 684279 AUSTIN, TX 78768-4279