16012 SW 93rd Ave Tigard High School Area Parking Permit Application
Permit Period: September 2016-June 2018
1. Applicant name:
Address:
Tigard, OR 97224 Phone #
2. For proof of residency, attach a copy of a utility bill, real estate title or rental contract
including name & address.
3. Attach a copy of the vehicle registration for each parking permit requested. j
Each household will receive 1 guest-parking permit. If you would like more than 1 guest- I
parking permit, how many would you like?
I agree to use any parking permit(s) assigned to my vehicle(s) only on the specific vehicle it is
assigned by the City of Tigard Police Department, for the purpose, it was issued. Any
parking permit(s) remain the property of the City of Tigard and may be revoked if improper
use is demonstrated. I agree to assign guest parking permit(s) to people only while visiting my
home and surrender any rights if I move. Violation of any of these understandings may result
in cancellation of the parking permit(s). After cancellation, any vehicle(s) found parked in the
permit area bearing said parking permit(s) shall be cited.
Signature Date
Mail this application with proof of residency and vehicle registration(s) to:
Tigard Police Department
THS Area Parking Permits
13125 SW Hall Blvd.
Tigard, OR 97223
City of Tigard Service Address: 16012 SW 93RD AVE
q UTILITY BILLING Customer Number: 009970-000
= 13125 SW Hall Blvd. I Tigard, OR 97223 1 1-888-826-7211 Service Type: RESIDENTIAL
TIGARD'S STRATEGIC VISION: "The most walkable conunitnih'in the Pacific Northwest Meter Size: 5/8°
where people of all ages and abilities er jqv healthy and interconnecled lives." Service Dates: 06/27/2016 t0 07/25/2016
DUE DATE: August 24, 2016
Billing Summary For an explanation of each charge,please seethe reverse side of this bill.
WATER CHARGES:
Water Consumption 5 CCF (Current Meter Read 3,890 Previous Meter Read 3,885 ) $17.25
Customer Base Charge $26.67
TOTAL TIGARD WATER CHARGES: $43.92
................................................................................................................................................................................................
SEWER AND SURFACE WATER CHARGES:
Sewer Usage Charge Based on your Winter Average of 6 CCF $10.89
Sewer Base Charge $27.36
Surface Water Management Charge $9,75
TOTAL SEWER AND SURFACE WATER CHARGES: $48.00
................................................................................................................................................................................................
OTHER CHARGES:
Residential Street Maintenance $5.30
Residential Parks&Recreation Fee $3.75
TOTAL OTHER CHARGES: $9,05
................................................................................................................................................................................................
Compare Your Water Usage TOTAL CURRENT BILLING: $100.97
CCFS Water consumption is charged per 100 cubic feet(or CCF).Each CCF=748 gallons. PRIOR BILLING:
30 Previous balance(as of July 25,2016): $102.22
24 Adjustments: $0.00
18 Payments received-thank you: -$102.22
12 "Rl TOTAL PRIOR BILLING: $0.00
6 TOTAL DUE: $100.97
AUG15 SEP•15 0Cr15 NOV•1S DEC15 JAN'16 FEB'16 MAR16 APR'16 MAY'16 JUN116 JUV16
■ Current Year _ Previous Year Last year's water usage in same billing period: 25 CCF
r----------------------------------------------------------------------�
DISCOVER THE BENEFITS-SKIP THE CLUTTER AND SAVE THE PAPER.WITH OUR CONVENIENT PAPERLESS BILLING YOU RECEIVE YOUR BILL ONLINE AND GET AN 1
1 EMAIL NOTICE WHEN IT'S READY.VIEW YOUR BILL ANYTIME,VIEW PAST BILLS,AVOID LOST OR MISPLACED BILLS AND HAVE THE CONVENIENCE OF SEEING ALL 1
1 THE INFORMATION ASSOCIATED WITH YOUR UTILITY ACCOUNT.IT'S A SUSTAINABLE,EARTH-FRIENDLY CHOICE,SIGN UP AT 1
1 HT rPS:HTIGARD.MERCHANTTRANSACr.COM 1
------------------------------------------------------------------------1
Please return this portion with payment.Please DO NOT staple or tape check to the coupon.
❑ FOR CH�NGE OF A9DRESS,PLEASE CHECK BOX AND COMPLETE FORM ON REVERSE SIDE.
IBM City of Tigard I UTILITY BILLING Cfi�
13125 SW Hall Blvd.
rz Tigard. OR 97223DUE DATE: ugust 24, 2016
TOTAL DUE: $100.
ADDRESS SERVICE REQUESTED Service Address: 160 RD AVE
Customer Number: 009970-000
2011 1 AV 0.376 5/277 02038 0001:0001 Make check payable to:City of Tigard.
"�I'I'll'II�1ll�'I�I��III1II111�1�11111"I'�1��1'�1"'�I"'I�'I' 503-718-2460 www.ti arg_ d=or.gov
DAVID A&JANICE E RABE
16012 SW 93RD AVE 11111111111Jill 11111
TIGARD OR 97224-5560
CITY OF TIGARD
P.O. BOX 3129
PORTLAND, OR 97208-3129
101009970000000000000100974
OREGON
PASSENGER REGISTRATION
PLATE NUMBER TITLE NUMBER PROCESS CATE EXPIRATION?ATE FUEL TYPE EQUIPMENT NO.
487HCT 15028815641 012815 - OCT 10, 16 GASOLINE
YEAR MAKESTYLE MODEL VEHtC E ICENTI=ICAT!CN NL;NISER WEIGHT/LENGTH
2011 CADI 4D CTS 1G6DS5ED5B0105627
TITLE BRANDS _ NONE _ ODOMET-ER READING DOMETER DATE
OWNER! 16, 682 09/20/14
LESSEE OCOMETER MESSAGE
RABE, DAVID ALAN
RABE, JANICE E
16012 SW 93RD AVE
T I GARD OR 97224 - COUNTY OF COUNTY OF
- - - RESIDENCE USE
NEW WASHINGTON
ADDRESS
OREGON
DISABLED VETERAN REGISTRATION
PLATE NUMBER TITLE NUMBER PROCESS DATE IEXPiRATIONDATE FUEL TYPE EQUIPMENT NO.
D041285 0912861033 041513 PERM GASOLINE
YEAR MAKE STYLE MODEL VEHICLE IDENTIFICATION NUMBER WEIGHULENGTH
2009 HAND UT PLT SFNYF48539BO36658
TITLE BRANDS - NONE - ODOMETER READING ODOMETER DATE
OWNERI 7 04/19/09
LESSEE ODOMETER MESSAGE
RABE, DAVID ALAN
RABE, JANICE E 0162001
16012 SW 93RD AVE COUNTY OF COUNTY OF
TIGARD OR 97224 RESIDENCE USE
NEW WASHINGTON
ADDRESS