Action Center / Application for Alarm Business License / Davenport, Iowa

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Application for Alarm Business License

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Application for Alarm Business License

City Ordinance 5.06

Please complete form below. After all approvals are complete you will be sent an invoice for your business license.

* Denotes a required field

General Information

Business Name*

Parent Company Name

Country*

Address 1*

City*

State*

ZIP*

Zip-Zip +4
Second portion of ZIP Code is optional.

Province / Region*

Postal Code*

Country*

Address 1*

City*

State*

ZIP*

Zip-Zip +4
Second portion of ZIP Code is optional.

Province / Region*

Postal Code*

Business Phone*

Phone Area Code-Phone 3-Phone 4 ext Extension

Cell Phone

Phone Area Code-Phone 3-Phone 4

Business Start Date*

MonthDay Year,

Ownership*

If Corporation, where is it filed?

Email*

Website URL

ProtocolURI

Owner's or Principal's Name(s)

Owner or Principal's Name 1*

Address 1*

City*

State*

ZIP*

Zip-Zip +4
Second portion of ZIP Code is optional.

Owner Phone 1*

Phone Area Code-Phone 3-Phone 4 ext Extension

Title Owner 1*

Owner Name 2

Address 1

City

State

ZIP

Zip-Zip +4
Second portion of ZIP Code is optional.

Owner 2 Phone

Phone Area Code-Phone 3-Phone 4 ext Extension

Please Do Not Complete The Following Field

Owner 2 Title*

Approximate number of alarm installations:

Burglar Alarms*

Hold-up*

Fire Alarms`*

Years of Serivce Installing:

Alarm Systems*

Electrical or electronic installation or service*

List any specialized training in electricity, electronics or alarm systems:*

I certify that the above statements are true. I have read and understand the Ordinances dealing with alarms and the standards issued by the Police Chief and the Fire Chief and agree to abide by them and any amendments, etc. I further certify that no employee of the Fire Department or Police Department nor member of any such employee's immediate family has an interest, directly or indirectly, in this alarm business within the limits of the City of Davenport.

Check this box if you agree with the certification statement above.*

Check this box if you agree with the certification statement above.

Please check all licenses that apply:*

Alarm Business - Fee Code 0026 $50.00

Central Station - Fee Code: 0030 Cost: $50.00

Modified Central Station - Fee Code: 0031 Cost: $50.00

Alarm System Direct - Fee Code: 0029 Cost: $100.00