CITY OF KINGSTON
POLICE DEPARTMENT
1 GARRAGHAN DRIVE
KINGSTON, NEW YORK 12401
APPLICATION FOR PERMIT TO INSTALL ALARM SYSTEM
OWNER OF ALARM SYSTEM
Name___________________________________________________________________
Address_________________________________________________________________
Phone___________________________________________________________________
Directions:_______________________________________________________________
________________________________________________________________________
________________________________________________________________________
INSTALLER
Name___________________________________________________________________
Address___________________________________________Phone_________________
Persons (other than owner) who can be contacted to respond to the premises where
system is located on a 24 hr a day basis. (list at least 2, if there are more add them on
back.)
Name_____________________________ Name_______________________________
Phone_____________________________ Phone_______________________________
TYPE OF SYSTEM AND WHERE LOCATED ON PREMISES
_______________________________________________________________________
________________________________________________________________________
There is an original application fee of $40.00 (forty dollars) CHECK OR MONEY
ORDER ONLY. The Chief of Police shall have the right, if contact person is unavailable
to respond, to do either of the following: disconnect the system itself, if possible; or
contact the installer to disconnect the system. The Chief also has the right at reasonable
times, to inspect the alarm system. A bill is rendered for every false alarm over 3 per year
at $50.00 each.
_______________________________ ____________________________________
Signature of owner of alarm system Please print name here Date
click to sign
signature
click to edit
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