9380 SW Julia Pl -I 7-I to
Tigard High School Area Parking Permit Application
Permit Period: September 2016—June 2018
1. Applicant name: '
Address: 939-61 S L)
Tigard, OR 97224 Phone # 3 6 0 L(f `7 6 0
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 p-fmit. 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.
Signat 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: 9380 SW JULIA PL
ff I UTILITY BILLING Customer Number: 055430-000
13125 SW Hall Blvd. I Tigard, OR 97223 1 1-888-826-7211 Service Type: RESIDENTIAL
TIGARD'S STRATEGIC VISION: "The most walkable community inthe Pack NorlhJvest Meter Size: 5/8"
where people ofall ages and abilities er joy healthy and interconnected lives." Service Dates: 06/27/2016 to 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 14 CCF (Current Meter Read 4,763 Previous Meter Read 4,749 ) $61.02
Customer Base Charge $26.67
TOTAL TIGARD WATER CHARGES: $8769
........................................................................................................................................................................................87. 9
SEWER AND SURFACE WATER CHARGES:
Sewer Usage Charge Based on your Winter Average of 5 CCF $9.08
Sewer Base Charge $27.36
Surface Water Management Charge $9.75
TOTAL SEWER AND SURFACE WATER CHARGES: .19
$46
..........................................................................................................................................................................................6.19
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: $142.93
CCFs Water consumption is charged per 100 cubic feet(or CCF).Each CCF=748 gallons. PRIOR BILLING:
15 Previous balance(as of July 25,2016): $147.85
12 Adjustments: $0.00
9 Payments received-thank you: -$147,85
6 TOTAL PRIOR BILLING: $0.00
s TOTAL DUE: $142.93
r
AUGSS SEP'15. 0Cr15 NOV15 DEC15 1AN'16 FEB'16 MAR'16 APR'16 MAY'16 JUN'16 JUU26
■ Current Year ;;< Previous Year Last year's water usage in same billingperiod: 0 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 HTTPS://TIGARD.MERCHANTTRANSACT.COM 1
"-----------------------------------------------------------------------1
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 I UTILITY BILLING
13125 SW Hall Blvd.
Tigard OR 97223 DUE`DAM AUgLlSt 24, 2016.
TQTA,L DU,E: $242:93
ADDRESS SERVICE REQUESTED �Service.Address. 9380 SW1ULIAPL
Gustoiner"°Ni rT�b r '' ...... =(300
2110 1 AV 0.376 5/376021370001:0001 it
Make check payable to y Of 7lgard
��"Ill�'lll'I�II�I�II'III'I"'I"II���I�I'�'lll�ll'I�II�II�I��I�
503-718726o wWv�.tiRard-ar: ov
JOHN R FARRELL „v;..,..
9380 SW JULIA PL ��+,'' `
TIGARD OR 97224-5593
CITY OF TIGARD
P.O. BOX 3129
PORTLAND,OR 97208-3129
101055430000000000000142936
OREGON
PASSENGER REGISTRATION
PLATE NUMBER TITLE NUMBER PROCESS DATE 1EXPIRATIONDATE FUEL TYPE EQUIPMENT NO.
034HQX 1 1524034909 082815 = AUG 13 , 17 GASOLINE
YEAR MAKE STYLE I MODEL I VEHICLE IDENTIFICATION NUMBER WEIGHT/LENGTH
2011 FORD 4D FUS 3FAHPOHA7BR254406
TITLE BRANDS - NONE - ODOMETER READING ODOMETER DATE
OWNER/ 35, 014 08/13/15_
LESSEE ODOMETER MESSAGE
FARRELL, JANET L
9380 SW JULIA PL
TIGARD OR 97224 COUNTY OF COUNTY OF
RESIDENCE USE
NEW WASHINGTON
ADDRESS
OREGON
PASSENGER REGISTRATION
PLATE NUMBER TITLE NUMBER PROCESS DATE EXPIRATION DATE FUEL TYPE EQUIPMENT NO.
035HQX 1524034910 1 082815 - AUG 13 , 1'7 GASOLINE
YEAR I MAKE STYLE I MODEL VEHICLE IDENTIFICATION NUMBER WEIGHT/LENGTH
2011 HOND 4D CIV 2HGFA1F51BH5361'78
TITLE BRANDS - NONE', - ODOMETER READING ODOMETER DATE
OWNER/ 7, 975 08/13/15
LESSEE ODOMETER MESSAGE
FARRELL, JOHN R
9380 SW JULIA PL
TIGARD OR 97224COUNTY OF COUNTY OF
RESIDENCE USE
WASHINGTON
NEW
ADDRESS
i