Form Center

2. City of Norton Police Department
   Application for Alarm System Permit
4. Type pf Alarm

   1. Fire

   1. Burglary

   1. Hold-up

   1. Other
6. Name of Business / Homeowner to be protected:
8. Address of protected premises:
10. Signal Transmitted By

    1. Bell / Siren

    1. Leased telephone line

    1. Phone dialer

    1. Third party relay
12. Persons to Be Contacted
14. Name of person to be contacted in event of alarm
15. Phone Number
17. Address
19. Name of person to be contacted in event of alarm
20. Phone Number
22. Address
24. Name
25. Phone Number
27. Address
29. Description
    Describe the type and location of sensors; special information police / fire should know about premises, whether or not this is combined burglary / hold-up alarm, and description of the house alarm is in each mode.
31. Signature
32. Date Signed
    Date Signed
34. Title
35. Telephone Number
Leave This Blank:


37. 1. Receive an email copy of this form.
38. Email address

    This field is not part of the form submission.

39. Submit

* indicates a required field