15885 SW Stratford Lp #B Tigard High School Area Parking Permit Application
Permit Period: September 2016—June 2018
1. Applicant name: _F� r i'N _ �
r �G� C
Address: i
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.
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 b in said parking permit(s) shall be cited.
Signa 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
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PASSENGER REGISTRATION
PLATE NUMBER TITLE NUMBER PROCESS DATE EXPINATiON DATEFUEL TYPE EQUIPMENT NO,
911JBQ 1634818031 121316 APR 28, 18 GASOLINE
YEAR, MAKE STYLE MODEL VEHICLE IDENTIFICATION NUMBER WEIGHT/LENGTH
2016 TOYT 4D COA 2TIBURHE3GC636137
TITLE BRANDS - NONE - ODOMETER READING JODOM.0/1;8/16
ETER DATE
OWNER/ 41
LESSEE ODOV-ETER VF_SSAGE
LSE SAMAYOA SOLARES, FREDY ANTONIO
15885 SW STRATFORD LOOP APT B
TIGARD OR 97224 -OJ%TVOF COUNTY OF
USE
NEW WASHINGTON
ADDRESS
(503)228-6322 or 1-800-542-8818 Account# 0008 06190-424756 0
PortlandGeneral.com
Previous Amount Due 147.13
Payments/Adjustments 147.13cF�
Balance Forward 0.00
Service Address: Current Charges 122.84
FREDY A.SAMAYOA
15885 SW STRATFORD LOOP NBR B
TIGARD, OR 97224
Cycle: 1004 AMOUNTDUE $ °122.84
Feeder Line Code: DR2 Due date for current bill 05/31/17
This month's charges (turn over for details) Your energy use
Meter#IN24758101, Schedule 07 Meter#IN24758101
Energy Charges (1040 kWh) 126.45 Schedule 07(residential rate)
Adjustments 9.48 cia Service Period Meter Reacting
116.97 06/11/17 9389.5
0-112'17 92C5--
Taxes
28--Taxes and Fees 5.87 29 days of service 1040 k\Nh
Current Charges 122.84
Thank you for your payment. It's a privilege to provide your electric service.
Period Avg Daily Avg kWh Avg Cost
Ending Temperature* Per Day Per Day
May 2017 52 35.8 4.03
May 2016 58 30.6 3.37
*Temperature source:Hillsboro Airport
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2016 Months 2017
Please detach and return this portion with your payment. 0008 06190-424756 0
-. 1004 Account dumber
/PGE P.O. Box 4438
Portland,OR 97208-4438
Dote Date: 05/ 1/17
Amount Due: $ 122.84
g *023217
��la9n®e'llleellalel�E'III° (IIII 'lll�l®lal�llA�ea�elll�laaal�l' Pleaso Indicate amount paid below
FREDY A.SAMAYOA 0
15885 SW STRATFORD LOOP APT B
TIGARD OR 97224-5994 Questions?Call 1-800-542-BB18 or
PortlandGeneral.com
PGE