8690 SW Stratford Ct Sc-o IS
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Tigard High School Area Parking Permit Application
Permit Period: September 2016—June 2018
1. Applicant name: ��� �'—� L45ChuK
Address:
Tigard, OR 97224 Phone # .2�f,
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.
Each household will receive 1 guest-parking permit. If you would like more than 1 guest-
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 Dat
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: 8690 SW STRATFORD
ep UTILITY BILIANG Customer Number: 044795-0
® 13125 SW Hall Blvd. i Tigard, OR 97223 1 1-888-826-7211 Service Type: RESIDENTI
• TIGARD'S STRATEGIC VISION: "Tire most xzdkable connnnnit}'in the Pacific Northirest Meter Size: 5/
Irhere people o/'all ages and clhilitier enfo}'health],and interconnected lives_" Service Dates: 06/27/2016 to 07/25/20
B DUE DATE: August 24, 20:
'I I I ng Su ma ry For an explanation of each charge,please see the reverse side of this bill.
WATER CHARGES:
Water Consumption 5 CCF ( Current Meter Read 2,777 Previous Meter Read 2,772) $17.25
Customer Base Charge $26.67
TOTAL TIGARD WATER CHARGES:
$43.
SEWER AND SURFACE WATER CHARGES:
Sewer Usage Charge Based on your Winter Average of 2 CCF $3.63
Sewer Base Charge $27.36
Surface Water Management Charge $9,75
TOTAL SEWER AND SURFACE WATER CHARGES: $40.
.............................................................................................................................................................................................
OTHER CHARGES:
Residential Street Maintenance $5.30
Residential Parks& Recreation Fee $3.75
TOTAL OTHER CHARGES: $9
...............................................................................................................................................................................................
Compare Your Water Usage TOTAL CURRENT BILLING: $93.'
CCFS Water consumption is charged per 100 cubic feet(or CCF).Each CCF=748 gallons. PRIOR BILLING:
10 Previous balance(as of July 25, 2016): $98.1
8 Adjustments: $0.1
6 Payments received-thank you: -$98.1
4 TOTAL PRIOR BILLING: $0.1
2M, TOTAL DUE: $93.7
011 All"'A-:411"A7
AUG'1S SEP115 OCMS NOV'15 DEC1S lAN'16 FEW16 MAR'16 APR'16 MAY'16 JUN'16 JVU16
■ Current Year Previous Year Last year's water usage in same billing period: 4 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 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
i THE INFORMATION ASSOCIATED WITH YOUR UTILITY ACCOUNT.IT'S A SUSTAINABLE,EARTH-FRIENDLY CHOICE.SIGN UP AT
HTTPS://TIGARD.MERCHANTTRANSACT.COM
"----------------------------------------------------------------------
Please return this portion with payment.Please DO NOT staple or tape check to the coupon.
FOR CHANGE OF ADDRESS,PLEASE CHECK BOX AND COMPLETE FORM ON REVERSE SIDE.
City Of Tigard ( UTILITY BILLING
,i 13125 SW Hall Blvd.
r. Tigard, OR 97223 DUE DATE: August 24, 2026
• ® TOTAL DUE: $93.72
ADDRESS SERVICE REQUESTED Service Address: 8690 SW STRATFORD CT
Customer Number: 044795-000
2412 1 AV 0.376 6/204 02440 0001:0001 Make check payable to:City of Tigard.
Iill'��11"�I'1111l�II'I'�fll'�i�l�'I��IIIi11��I�1�1��tllll�l1�11 503-718-2460 www.ti arg d-or.gov
OLGA LASCHUKrC
8690 SW STRATFORD CT - I1 11111111-IIII'I'llIII1I11111111111111111111
TIGARD OR 97224-5680
CITY OF TIGARD
P.O. BOX 3129
PORTLAND,OR 97208-3129
101044795000000000000093711
PASSENGER REGISTRATION CARD �y
PLATE NUMBER TITLE NUMBER FUEL TYPE FARM ID NO. NEW EXPIRATION DATE
CU14954 1416976119 GASOLINE OCT 21, 2016
YEAR MAKE STYLE �PAODEL VEHICLE IDENTIFICATION NUMBER HVUT DATE
2011 ITOYT 4D AM 4T4BF3EK8BR123626 ( FEE
EQUIPMENT NO. WEIGHT LENGTH TITLE BRANDS
- NONE - $116 . 00
DOPdETER R:'ADiNG ODOMETER DATE ODOMETER MESSAGE
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*LASCHUK, OLGA
8690 SW STRATFORD CT COUNTY OF RESIDENCE COUNTY OF USE
PORTLAND OR 97224-5680 WASHINGTON
NEW ADDRESS(HOUSE NUMBER,STREET,CITY,STATE,ZIP CODE) 4'V.ALIDATI G�Tf 4945
r 1//1111777T1Z2 71
1NEW PLATE NUMBER NEW STICKER fiUmBER
.16875558