Alarm Permit Application

Please provide the following information:

Once Complete, Click on SUBMIT. The resulting page can then be printed out and brought in to Fire Headquarters during normal business hours for payment and scheduling.

Property Name
Location of property
Owner of property
Owner's phone #
Firm name (Installer)
Firm's address
Firm's phone #
Contact person
Installer's license #

Type of License: (Pick One)

Electrical Security Fire Alarm Masters Journeymans

Insurance Coverage: Pursuant to the requirements of Massachusetts General Laws, I have a current Liability Insurance Policy including completed operations coverage or its substantial equivalent.

Yes No

I have submitted valid proof of insurance to this office:

Yes No

List the following # of devices:

Smoke Detectors:

Heat Detectors:

CO Detectors

Pull Stations:

Horns:

Horn/Strobes:

Outside Visuals:

Number of Zones:

Annunciator?

Yes No

Is this system monitored by a Monitoring Company?

Yes No

If yes, List Company name below.

Enter today's date.

-- MM/DD/YY