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City of Missoula Alarm System User Permit Application PERMIT # (Office Use Only) 1. Check the space that applies: New Permit Renewal Permit Updating Information___________ 2. Is this alarm for a: Business Residence Gov’t Agency 3. Name of Business or Residence Using the Alarm System: 4. Physical Address/Location of Alarm System: 5. Mailing Address (if different from above): 6. Responsible Person’s Name: Date of Birth: 7. Responsible Person’s Role: Contact Person Resident Key Holder Other: 8. Cell Phone: Home Phone: Business Phone: 9. Responsible Person’s Email: 10. Responsible Person’s Signature: 11. Additional Contact Person’s Name: Date of Birth: 12. Additional Person’s Role: Contact Person Resident Key Holder 13. Cell Phone: Home Phone: Business 14. Additional Person’s 15. Alarm Service Company: Phone 16. Installation Date of Alarm: Date of Application: 17. Type of Alarm: SECURITY FIRE 18. Do you have functioning surveillance cameras? YES NO 19. Type of surveillance cameras : Interior Exterior Both 20. If this is for a business, what are your normal business hour? to 21. Days of the week open for business? (If Applicant is other than the Responsible Party – Please Complete) 22. Printed Name of Applicant: Applicant 23. Signature of Applicant: (Please familiarize yourself with 15.48.070 of the Ordinance on Response to an Alarm) PLEASE COMPLETE THIS APPLICATION AND RETURN IT WITH A TWENTY-SIX DOLLAR ($26.00) PERMIT FEE TO: Missoula Police Department Alarm Permits 435 Ryman Missoula, MT 59802-4297 Federal Tax ID#: 81-6001293 Sign up for this free service available to Residents & Businesses in Missoula County for families & individuals for businesses Your permit will be sent to you by return mail upon receipt of the fully completed (questions 1-23) application and fee QUESTIONS - Call [PHONE REDACTED] or send an email to [EMAIL REDACTED] see reverse SIGN SIGN ---PAGE BREAK--- REMINDER: Please keep your alarm service company updated with names and telephone numbers of persons authorized to respond to alarms at these premises. Your alarm service company is where 911 receives their contact/responder information, which is then dispatched to responding police officers. It is crucial that your alarm provider have the most current and up-to-date responder list. Pursuant to Missoula Municipal Ordinance, Chapter 15.48, any “person, firm, partnership, association, corporation, company or organization of any kind in control of any building, structure or facility or portion thereof wherein an alarm system is maintained: must have a valid alarm user permit. An alarm system is defined as, “any assembly of equipment, mechanical or electrical, arranged to signal the occurrence of an illegal entry or other activity requiring urgent attention and to which the police or fire department is expected to respond.” (Individual smoke detectors are not considered alarm systems and no permit is required if only individual smoke detectors are being used.) If an alarm system is being used within the City of Missoula and requires Police or Fire Department response, a permit is necessary. This would include any audible signal or silent signal monitored elsewhere for intrusion, robbery, fire or other trouble. The use of automatic telephone dialers, which directly request emergency service from the Missoula Police Department, is prohibited. This includes any recorded message or code signal which uses public telephone lines to call 9-1-1, the Police Department, or answering service directly requesting such emergency service. If, in the course of a permit year (July 1st to June 30th), no false alarms are reported, the City of Missoula will renew the Alarm User Permit without charge. However, the occurrence of more than two false alarms in a permit year constitutes a nuisance and subsequent alarms require a service charge or other penalty. PLEASE NOTE: The 6th false alarm requiring Police or Fire Department response is a $416.00 service charge, with an automatic suspension of Police response for the remainder of the fiscal year. Further information can be found in Missoula Municipal Code, Chapter 15.48, Section 010 to 150; or on the City of Missoula’s web page at http://www.ci.missoula.mt.us