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15845 SW 88th Ave Tigard High School Area Parking Permit Application Permit Period: September 2016—June 2018 1. Applicant name: Address: __;� i/� b Tigard, OR 97224 Phone # ``' n 9� 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 perjtre, bearing said parking permit(s) shall be cited. Signatiire 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 I I (503)228-6322 or 1-800-542-8818 Account# 0007 91996-431274 5 PortiandGeneral.com 4GE Previous Amount Due 168.39 Payments/Adjustments 170.00CR Portland General Electric Balance Forward 1.61 CR Service Address: Current Charges 165.38 HEATHER A. BIRCHILL JAMES BIRCHILL 15845 SW 88TH AVE Cycle: 1007 AMOUNTDUE $ 163.77 TIGARD, OR 97224 Feeder Line Code: DR2 Due date for current bill 08130116 This month's chargGS (turn over for details) Your energy use Meter#IN24758149, Schedule 07 Meter# 12475814 Energy Charges (1003 kWh) 118.79 Schedule 07(residential rate) Adjustments 8.66 CR Service Period Meter Reading 110.13 08/11/16 31899 07/13/16 30896 Taxes and Fees 5.66 29 days of service 1003 kWh Current Subtotal Charges 115.79 Average Pay Amount Due 165.38 Thank you for your payment. It's a privilege to provide your electric service. Our new, highly efficient, gas-fired generating station started serving customers in July. Overall prices increased Aug. 1 by 2.5% to reflect the addition of this new resource and other adjustments. Part of your bill was calculated at the old rate and the remainder was calculated at the new rate.To learn more about your prices, visit PortlandGeneral.com/Prices. Period Avg Daily Avg kWh Avg Cost Ending Temperature* Per Day Per Day Your account balance is$1.71CR. Aug 2016 67 34,5 3.79 Aug 2015 70 52.7 6.03 Thank you for your excellent bill payment record. We appreciate having you as a 'Temperature source:Hillsboro Airport customer and we look forward to serving your energy needs in the years ahead. 100 - 90 - co 70 - 60 - so 40 0) 30 P 20 10 - WW A S 0 N D J F M A M J J A 2015 Months 2016 Please detach and return this portion with your payment. 000? 91996-431274 5 Please indicate change of 1007 Account Number mailing or email address on back. P.O.Box 4438 Portland,OR 97208-4438 To redeem a PGE gift card,see b k Due Date: 08/30/16 Amount Due: $ 163.77 *023126 Please Indicate amount paid below HEATHER A.BIRCHILL $ JAMES BIRCHILL 15845 SW 88TH AVE Questions?Call 1-800-542-8818 or TIGARD OR 97224-5505 Portland General.com PGE 12500007919960431274500001653800001637703 mnnoAwla Paoe 1 of 3 S F[ Printed on recyclable paper using UV Inks Abv, OREGON PASSENGER REGISTRATION 347 PLATE NUMBER TITLE NUMBER PROCESS DATE EXPIRATION DATE FUEL TYPE EQUIPMENT NO. WKU096 9825768102 081516 AUG 31, 2018 GASOLINE YEAR MAKE STYLE MODEL VEHICLE IDENTIFICATION NUMBER WEIGHT/LENGTH 1994MAID PU B40 4F4CR16X1RTM45184 TITLE BRANDS NONE - ODOMETER READING ODOMETER DATE OWNER/ 70379 04/04/98 LESSEE ODOMETER MESSAGE BIRCHILL, JAMES JEFFRY BIRCHILL, HEATHER AMERENCIA 3161Y20 15845 SW 88TH AIDE COUNTY OF COUNTY OF T I GARD OR 97224 RESIDENCE USE NEW WASHINGTON ADDRESS