Radio Alarm Application - Contractor

Application is hereby made by the undersigned application for the connection to the Fire Alarm Receiving System of the Village of Downers Grove, for the automatic fire alarm service.

Required fields are printed in bold.

Applicant Information

First Name

Last Name

Title/Company Name

Address e.g 100 Main St

City

Zip Code

Phone e.g. 000-000-0000

Email e.g. johndoe@mydomain.com

Are you the owner, lessee, or otherwise in control of the property for which you are applying for connection?

Owner?

Yes No

If not, please designate your exact interest in the property?

Applicant Interest

Business Address

Business Name

Street Address e.g 100 Main St

Business Phone e.g. 000-000-0000

Connection Conditions

As a condition to the Village system, the applicant shall comply with the following requirements:

All fire alarm systems shall be supervised by connection to the Village fire alarm receiving panel in the manner specified by the Municipal Code and shall transmit alarm, trouble, and supervisory signals; as per section 907.15.1

Accept Conditions (Check if yes)

I have read and acknowledge the Village of Downers Grove connection conditions.

You will be contacted by the Fire Prevention Bureau once a position number is assigned upon receipt of this application.