There is no alarm system permit application fee. There will be no charge for the first 3 false alarms, however, a service charge of $200 will be implemented for the 4th false alarm, $300 for the 5th false alarm, $400 for the 6th false alarm and subsequent false alarm per fiscal year (October 1 to September 30). Please direct all inquiries and correspondence to the False Alarm Coordinator, El Segundo Police Department, 348 Main Street, El Segundo, CA 90245.  Contact number:  (310) 524-2246.

APPLICATION FOR ALARM SYSTEM PERMIT

DATE OF APPLICATION:
NAME OF BUSINESS/RESIDENCE:

APPLICANT:

First Name, Last Name, Middle & Title:
Address, City & Zip Code:
Telephone Number:		Date of Birth:		CA Driver Lic. #

EMERGENCY INFORMATION (PERSON WHO MAY SECURE PREMISES ON 24 HR BASIS)

Name		Address		Telephones(s)
Name		Address		Telephones(s)
Name		Address		Telephones(s)

PURPOSE OF ALARM (ARMED ROBBERY, BURGLARY,ETC.)
TYPE OF ALARM (SILENT, AUDIBLE,ETC.)
AREA PROTECTED (PERIMETER, DOORS, SAFE,ETC.)

ALARM COMPANY

Name:
Address:
Telephone:

FOR OFFICE USE ONLY

CURRENT PERMIT NO.:

DATE: