APPLICATION FOR AUTOMATIC PROTECTION DEVICE PERMIT HOMEOWNER/BUSINESS

PERMIT FEE: $25.00

Date:_________________

1) Name:_________________________ Phone:________________ (resident or business)

2) Location of Property:______________________________________________________________

3) Type of Device: Hold-Up _______ Burglar______ Fire ______ Other ______

4) Type of Building: Residential ________ Industrial _______ Commercial _______

5) When will work be started ____________ Completed: ______________

6) Manufacturer of device: _____________________________________ Model #_________________

8) Installer's phone number: _______________________________________

9) Alternate emergency phone number: _______________________________

The applicant understands false activations of an alarm system are subject to fines as specified in the Burglar/Fire Alarm Chapter 1440 of Upper Providence Township Codified Ordinances.

The applicant authorizes Upper Providence Township to permit the appropriate officers to enter upon the premises at such reasonable times and upon reasonable notice to inspect the installation and operation of the Automatic Protection Device.

I, hereby, swear and affirm that the above statements are true and that all work will be done as described and will comply with all provisions of the Upper Providence Township Burglar/Fire Alarm Ordinance. I certify that I/we have reviewed Chapter 1440 before filing this application. Chapter 1440 can be accessed on this website under Codified Ordinances button (left side of the homepage) and type in Chapter 1440. If you have any questions, contact the Police Department at 610-566-8445.