15930 SW Stratford Lp 5C-01 :) 1-013
Tigard High School Area Parking Permit Application
Permit Period: September 2016—June 2018
1. Applicant name: 3 I MakP�_
Address: g�3 ,�(� .S'hR�{-1' dYZfl� LX
w
Tigard, OR 97224 Phone # ,5� -7 1 3
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 eacharkin permit re uested�
p gP q
Each household will receive 1 guest-parking permit. If you would like more than 1 guest-
parking permit, how many would you like? .1t
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.
Al'yf r /1- `6
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
® TIGAKD'S S7RATEWC VISION: -1 he most ivalkable community in the Vaciipc lVw7tnvaW
tvhere people ofall ages and abilities ei joy health'and interconnected lives." Service Dates: 06/27/2016 to 07/25/2016
Summary
DUE DATE: August 24, 2016
Billing Su 111 ma ry For an explanation of each charge,please seethe reverse side of this bill.
MATER CHARGES:
Water Consumption 13 CCF (Current Meter Read 4,388 Previous Meter Read 4,375 ) $55.98
Customer Base Charge $26.67
TOTAL TIGARD WATER CHARGES: $82.65
NN....!!1.N.N...N..N........NN.....NN............NNNNN.NN.NNNN.....i.............................NN..NNNN...N...NNNNN......NN..............................
;EWER AND SURFACE WATER CHARGES:
Sewer Usage Charge Based on your Winter Average of 4 CCF $7.26
Sewer Base Charge $27.36
Surface Water Management Charge $9.75
TOTAL SEWER AND SURFACE WATER CHARGES: $44.37
N.NNNNNNN.N..N..NlN..N..l....NN.NN..N..N....1.ONNNNNN..NlN....N....N.N.........N.N.N....N..N..N..NN..N.... .......NN.............N.NNN.N..NNN
)THEIR CHARGES:
Residential Street Maintenance $5.30
Residential Parks&Recreation Fee $3.75
TOTAL OTHER CHARGES: $9.05
........................................................................................................................
..............................N.............................l.N......
Compare Your Water Usage TOTAL CURRENT BILLING: $136.07
CCFs Water consumption is charged per 100 cubic feet(or CCF).Each CCF=748 gallons. PRIOR BILLING:
45 Previous balance(as of July 25,2016): $170.62
36 Adjustments: $0.00
27 Payments received-thank you: -$170.62
is TOTAL PRIOR BILLING: $0.00
` = TOTAL DUE: $ 35.07
AUG'15 SEP'IS OCrIS NOV'IS DEC" 1AN76 rER'16 MAR'16 APR'16 MAY16 AMTS AA'16
■ Current Year Previous Year Last year's water usage in same billing period:23 CCF
------------------------------------------------------------------------
DISCOVER THE BENEFITS-SKIP THE CLUTTER AND SAVE THE PAPER.WITH OUR CONVENIENT PAPERLESS BILLING YOU RECEIVE YOUR BILL ONLINE AND GET AN i
EMAIL NOTICE WHEN IrS READY.VIEW YOUR BILL ANYTIME,VIEW PAST BILLS,AVOID LOST OR MISPLACED BILLS AND HAVE THE CONVENIENCE OF SEEING ALL 1
THE INFORMATION ASSOCIATED WITH YOUR UTILITY ACCOUNT,IT'S A SUSTAINABLE,EARTH-FRIENDLY CHOICE.SIGN UP AT
HTTPS://MARD.MERCHANTTRANSACr.COM �
•-s s-----r---------------- ----------r--------------
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'DATE: August 24, 2015
® TOTAL DUE:
Autopay-Do Not Pay
ADDRESS SERVICE REQUESTED Service Address: 15930 SW STRATFORD LP
Customer Number: 009879-000
2005 1 AV 0.376 51271 02032 0001:0001 Make check payable to:City of Tigard.
503-718-2460 www.tigard-or.gov
rd-or.gov
'1'tllllll'11111111"'1111111"I111'1'IN'lllllllll"111'1I111P1
BILL MAHER
15930 SW STRATFORD LP tlll""II't'llltllllill'!1111111'I11111111tt11'llt'll"I'lllllll
TIGARD OR 97224-5556
CITY OF TIGARD
P.O.BOX 3129
PORTLAND,OR 97208-3129
101009879000000000000136074
Subaru registration
, REGISTRATION PLATESISTICKER NOTICE
'
Permanent Registration Card in Process
'4
PLATE: STICKER#. 80084331 EXPIRES: 6/14/2018 MAKE: SUBA
GROUP PLT: GGND YEAR: 2014
DECALTYPE, LAST OF VIN: 272281
EXISTING PLT RET11110M UNIT: VPI INT: JH
NAME AND ADDRESS OF REGISTERED OWNER: STICKER ONLY: PLATE ONLY:
S:E
BERARDI,ANNA
MAHER,WILLIAM DEPT.OF TRANSPORTATION
15930 SW STRATFORD LP DMV SERVICES
TIGARD OR 97224 SALEM OREGON 97314
218267
REMARKS: BATCH CODE
A MOM
Notice of Transaction
TITLE FE77 00
my
Submitted EVR Issue Date: 05/21/2016
DANEm AND NOTORYE3ItOLE SERVICES
1M LANA Avg Ne.SALEM OREGON M13
PLATE CODE TRANV?DE VT 1 TI 1 ORG3 MP G PROCESS EX MISC TTrtq&ND REG/REN FEE
5 VIN FEE
PERMIT# MEMORANDUM RECEIPT# VIN INSPECTION: DATE/INITIALS: DFALERTRANS PRE CHECKER
LEV COMPLIANT: MYES nNO ❑ LATE TILE FEE
ONEW Pgf 6GQ STICKER# VEHICLE IDENTIFICATION NUMBER(VIN) OREGON TITLE#
1 j���� �j tidII REPLACEM
5XXGT4L33GG066621
EXPIRATION DATE YEAR
PRESENT OREGON PLATE# MAKE STYLE REG WEIGHT/LENGTH GVWR OVER YES ��
d 05/3112018 ❑ Twwr00
12016 KIA SD 26,000 LBS. ❑NO
OFARM ID# FLEET ACCOUNT# EQUIPMENT# ❑GAS ❑DIESEL [:]HYBRID PLUG-INBRID RAILER OVER❑YES TOTAL Ff83 00
3 NATURAL
ELECTAIC PROPANE GAS OTHER. ,000 LBS. ❑NO
ODOMETER: Federal and State laws require that you state the mileage when you transfer ownership on a vehicle 9 years old or newer.Failure to complete an odometer diacbsure or providing a false
statement b meet this requirement Is a Class C felony under ORS 815.430.Use this certification when required to provide the odometer disclosure but unable to provide the proper disclosure from the
� setter.I certify the odometer disclosure listed Is true and rorrw and a disclosure Is not available on the required form from the seller_ Providing an odometer reading for a vehicle 10 years old or older is
4 voluntary.
i eertlfy that,to the best of my knowledge,the odometer reading Is actual
ODOMETER READING(NO TENTHS) DATE OF READING(MM/DDNYYY) mileage UNLESS one of these boxes Is marked:
❑ the mileage stated Is in excess of its mechanical limits(has rolled over);or
9 ❑ the odometer reading Is NOT actual mileage.WARNING-odometer discrepancy.
Complete Lire 5 with the owner whose address will be used for all DMV mall regarding this vehicle. List additional owners on Lines 8 and 9. (This In no way determines a priority of ownership.) 1f any owner
listed uses a work address on DMV records,that owner must be shown on Une S.See reverse for more information.
OPRINT FULL LEGALNAME:LAST,FIRST,MIDDLE OF(check one) N OWNER OR F1 LESSEE
5 MAHER,WILLIAM
ORESIDENCE/BUSINESS ADDRESS-(Addressorillbeused to Wdate your ODL 110 card) MAIUNGADDRESS(it ditkrerritranresidence-will beused toupdate your ODL/ID card)
e 15930 SW STRATFORD LOOP
OCITY,STATE,ZIP CODE GOUNTY OF RESIDENCE CITY,STATE,ZIP CODE COUNTY OF MAILING
TIGARD, OR 97224
OJOINT OWNER OR LESSEE"PRINT FULL LEGAL NAME:LAST,FIRST,MIDDLE(See"Charge of Address"on reverse)
8
OJOINT OWNER OR LESSEE-PRINT FULL LEGAL NAME:LAST,FIRST,MIDDLE(See"Change of Address"on reverse)
9
_ .
ONE-TIME MAILING ADDRESS(Will not chageyox customer record) Reg.Only VEHICLE ADDRESS-(Location of vehicle it different from residence)
Title Only
Both
CITY,STATE,ZIP CODE CITY,STATE,ZIP CODE OUNTY(of vehicle address or use)
11