Economic Vitality Incentive Program Certification 2011

City Of Muskegon Heights Fire Department

FIRE ALARM REGISTRATION APPLICATION

Application Type

Initial Registration
Renewal

Applicant Name

First MI Last

Phone

Address

Street Address Address Line 2 City State ZIP Code

Business Name

Phone

Address

Street Address Address Line 2 City State ZIP Code

Building Owner Name(if other than applicant)

First Last

Phone

Owner Address

Street Address Address Line 2 City State ZIP Code

Mailing Address(if different)

Street Address Address Line 2 City State ZIP Code

Type of Alarm Site

Residence
Business
Government Office

Date of Alarm Installation

Number of actuating devices

Monitoring Company

Phone

Address

Street Address Address Line 2 City State ZIP Code

Please list three(3) Emergency Contacts that have agreed to respond and grant access to the alarm site.

Name

First Last

Phone

Name

First Last

Phone

Name

First Last

Phone

Alarm system inspection records

Drop files here or

Accepted file types: pdf, jpg, jpeg, png, Max. file size: 2 MB, Max. files: 3.

I agree*

I agree

By checking "I agree", The Applicant or Authorized Agent affirms that all the information contained herein is true and correct to the best of his/her knowledge. This application may be denied for false statements and/or non payment of all fees owed to the City of Muskegon Heights.

If the fire department receives notice of any fire alarm from an alarm system that does not have a valid registration, then the owner shall be liable to the city for a fee as provided for in Section 42-41 of the Code of the City of Muskegon Heights for each Muskegon Heights Fire Department response to false fire alarms.

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