15940 SW 88th Ave #B Tigard High School Area Parking Permit Application
Permit Period: September 2016-June 2018
1. Applicant name: cpinan�2, �6rrlStiPa.�
Address: 15gekp Sy5 q;V
Tigard, OR 97224 Phone # 9il- 51v5 - 5996
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. t`+
Each household will receive 1 guest-parking permit. If you would like more than 1 guest-
parking permit, how many would you like? :I-
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.
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Signature Date 07/
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
/P' N--l'
G Ey
Name STEPHANIE L. BORSTEIN
Account Number 0019 92642-429064 5
Service Address 15940 SW 88TH AVE NBR B
TIGARD,OR 97224
Mailing Address STEPHANIE L. BORSTEIN
15940 SW 88TH AVE APT B
TIGARD OR 97224-5989
Cycle:1012 Amount Due $ 107.00
Feeder Line Code:DR2
Due date for current bill 09/29/16
This month's charges
Meter#IN24579805,Schedule 07
Energy Charges(551 kWh) 71.72
Adjustments 5.57CR
66.15
Taxes and Fees 3.75 Previous Amount Due 107.00
Current Subtotal Charges 69.90 Payments/Adjustments 107.00CR
Balance Forward 0.00
Equal Pay Amount 107.00 Current Charges 107.00
Thank you for your payment. It's a privilege to
provide your electric service. Your energy use
Meter#IN24579805
Your account balance is$50.46. Schedule 07(residential rate)
Details of this month's charges Service Period Meter Reading
09/12/16 70043
Meter#IN24579805,Schedule 07 08/11/16 69492
Energy Charges 32 days of service 551 kWh
Basic Charge 10.50
Energy Use Charge
551.000 kWh x 6.850000 37.74
Transmission Charge
551.000 kWh x 0.237000 1.31
Distribution Charge
551.000 kWh x 4.024000 22.17
71.72
Adjustments
102 RPA Exchange Credit
6.01 CR
(551.000 kWh x-01.09100¢ )*
OREGON
PASSENGER REGISTRATION 625
PLATE NUMBER TITLE NUMBER PROCESS DATE EXPIRATION DATE FUEL TYPE EQUIPMENT NO.
_j
XGQ469 11.4 2996364 03304.16 1 NOV J.2, 2017 I GASOLINIE
YEAR MAKE STYLE MODEL I VEHICLE IDENTIFICATION NUMBER WEIGHTILENGTH
2000 TOYT CP SOL SOL 2TICF22PISYC286620
TITLE BRANDS - NOBLEODOMETER READING IODOMETER DATE
OWNER/
LESSEE ODOMETER MESSAGE
0Rl'%!S'TEIN, STEPHAINIIE LOUISE '3661WEF
159-40 SW 88TH AVE APT B COUNTY OF COUNTY OF
TIGARD OR 97224 RESIDENCE USE
NEW WASHINGTON
ADDRESS