Glenn Heights Police Department • Burglar Alarm Permit Application • Residential
Application will not be processed
without an
attached check or
money order for $35.00, made
payable to the City of Glenn
Heights.
Alarm Office Hours: Monday
through Friday 8:00 am to 5:00 pm
972-223-2107 X 230
In Person or By Mail:
Glenn Heights Police Department
550 E. Bear Creek Rd.
Glenn Heights, Texas 75154
Individual Permit For: Home Apartment Duplex Mobile
Type: New Renewal
Street Address to be Permitted
Apt. #
Glenn
Heights,
Zip Code
Home Phone
Applicant’s Full Name Date of Birth Texas Driver’s License or State ID #
Home Address
(
i
f d
i
fferent from
p
ermit addre
s
s
)
City & State Zip Code
Date Moved to
Permit Address
Billing Address
(
i
f d
i
fferent from
p
ermit addre
s
s
)
City & State Zip Code E-Mail
NOTE: All correspondence will be mailed to the Billing Address.
A. Name of 1
st
Person to Contact in an Emergency Primary Phone Alternate Phone
B. Name of Person to Contact in an Emergency Primary Phone Alternate Phone
C. Name of Person to Contact in an Emergency Primary Phone Alternate Phone
Alarm Company Name
Address
(
i
nclude c
i
t
y
and
z
ip code)
Phone
Pets: Numbe
and T
y
pe Inside Pets: Numbe
r
and T
y
pe Outside
Any Other Pertinent Information About the Location
Confidentiality. Alarm system locations, types of systems, and the names of occupants at permitted locations are
confidential
information. The Police Department cannot disclose this information to others. See Section 1702.284 of the
Texas Occupations Code for further information.
“The information contained in this application is true and correct as of the date of this application. I will inform the Police
Department promptly of any changes. I shall comply will all provisions of the Alarms Chapter of the Code of the City of
Glenn Heights and all applicable laws of the State of Texas".
Applicant’s Signature Applicant’s Name Printed Date Signed
BIENNIAL RENEWAL REQUIRED
For
O
ff
i
c
e Use
O
nl
y
Date Received/Issued Expiration Date Permit #
Glenn Heights Police Department 12/2017
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