CITY OF EASLEY ALARM SYSTEM
APPLICATION FOR REGISTRATION PERMIT
Return to: City of Easley PO Box 466 Easley SC, 29641
(864) 855-7900
Alarm User Name:___________________________________________________________________
Type of Alarm______Business ______Residential ______Other
Alarm Purpose:______Burglar ______Duress ______Fire ______Other
Type of Business (if applicable):__________________________________________________________
Address:_________________________________________ Apt #________
Phone Number:___________________________________
Responsible Party for Billing:_____________________________ Phone #_________________
Mailing Address:_________________________________________________
________________________________________________
Alarm Company:_________________________________________________
Mailing Address:_________________________________________________
________________________________________________
Date of Installation/Take Over/Conversion:______________________________
Alternate Contacts:
1. Name_______________________ Phone #___________________ Relationship_____________
2. Name_______________________ Phone #___________________ Relationship_____________
Dangerous or Special Conditions (animals, chemicals, explosives, etc.)
______________________________________________________________________________________________________________________________________________________________
Applicants Statement
I have read and fully understand the City of Easley’s Alarm Ordinance, hereby agree to notify the City of Easley if/when any information changes on this registration form. I further understand that registration of an alarm system is not intended to create a contract, duty or obligation, either expressed or implied, for a response. I further understand that Police and Fire response may be based on such factors such as priority calls, weather conditions, traffic conditions, staffing levels and any other emergency condition. I hereby acknowledge any liability and damage due to failure to respond due to a valid justification will not fall on the City of Easley, Chief of Police, or Fire Chief.
Signature of Responsible Billing Party_____________________________________________ Date___________________
(Ord. 2002-10, passed 6-24-02)