| PLEASE NOTE: A building permit may be required. Please check with Building Department on 799-0909. |
FOR
OFFICE USE ONLY: PERMIT #: DATE ISSUED CHECK #: AMT: IF CASH PAID, AMT: |
PLAINSBORO TOWNSHIP ALARM PERMIT APPLICATION
| APPLICANT’S NAME (S): | ________________________________________________________ |
| STREET ADDRESS: | ________________________________________________________ |
| CITY, STATE, ZIP CODE: | ________________________________________________________ |
| HOME PHONE #: | ________________________________________________________ |
| WORK PHONE # (s): | ________________________________________________________ |
| PERSON/COMPANY INSTALLING/ MAINTAINING ALARM SYSTEM: |
| ______________________________________________________________________________________________ |
| MAILING ADDRESS: | _____________________________________ |
| PHONE : | _____________________________________ |
TYPE OF ALARM SYSTEM: Fire Burglar Medical Panic (Circle all that apply)
IN CASE OF ALARM MALFUNCTION, NAME, ADDRESS & PHONE NUMBER OF CONTACT:
| 1. | ____________________________________________________________________ |
| 2. | ____________________________________________________________________ |
| 3. | ____________________________________________________________________ |
THE ABOVE NAMED INDIVIDUALS MUST HAVE KEYS TO YOUR
RESIDENCE AND KNOW YOUR
PASSCODE IN CASE THEY ARE
CALLED REGARDING ALARM AT YOUR RESIDENCE.
| DATE: | _______________________ | SIGNATURE: | ____________________________ |
NOTE: A permit fee of $10 for each residential unit and $25 for all other applicants shall accompany this application. If two separate systems or a single system with two separate functions is involved (i.e., burglar and fire), then separate fees shall be required for each such system or function (i.e., RESIDENTIAL burglar ($10), fire ($10), burglar & fire ($20). There is No charge for panic or medical systems. In no instance shall this permit fee exceed $50. THIS IS A ONE-TIME FEE.
Mail form and check
payable to Plainsboro Township to:
Plainsboro Township Police Department,
641 Plainsboro Road,
Plainsboro NJ 08536