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Portland Bureau of Transportation

We keep Portland moving

Phone: 503-823-5185

Fax: 503-823-7576

1120 SW Fifth Ave, Suite 800, Portland, OR 97204

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Delivery Parking Permit Application

 

The undersigned is applying for a DELIVERY PERMIT.  Under Title 16 (Vehicle Code), a vehicle bearing this permit may:

OCCUPY A 15 MINUTE METERED SPACE FOR NOT MORE THAN FIVE (5) MINUTES, AND ANY OTHER METERED SPACE FOR NOT MORE THAN TWENTY (20) MINUTES WITHOUT PAYMENT OF METER FEE.

Applicant may also occupy two (2) SPECIFIED truck loading zones/locations for maximum of 30 minutes.

1). _________________ on N S E W side of street between ___________ and ___________.
              (Street Name)                                                                                   (Cross Street)               (Cross Street)

2)  _________________ on N S E W side of street between ___________ and ___________.
              (Street Name)                                                                                   (Cross Street)               (Cross Street)

This permit must be clearly displayed in the lower center of windshield when service is performed. This permit remains the property of the City of Portland and must be surrendered upon demand by any authorized officer.  THIS PERMIT MAY NOT BE USED IN ADDITION TO TIME ON THE METER.

Violators of these conditions shall be penalized as follows:

 

1st violation: Penalty as imposed by Court Authority
2nd violation: Penalty as imposed by Court Authority, plus 10 days suspension
3rd violation: Penalty as imposed by Court Authority, plus 30 days suspension
4th violation: Penalty as imposed by Court Authority, plus revocation of permit

 

Failure to surrender a suspended permit within 10 days of the date of our notification to you will result in the cancellation of the permit for the remainder of the year.  Continued noncompliance may result in an examination of whether permits will be issued to you in the future.

Signed by: _____________________________________________________
                            (Firm/Agency Representative)

 

(Applicant to complete all items below)       Make checks payable to City of Portland 

Firm:

_________________________________________________________

Contact Name:

___________________________Phone No. _____________________

Address:

_________________________________________________________ 

_________________________________________________________
       (City)                                                          (State)                              (Zip)

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(Office Use Only)

Fee $_______ Date ___________ Permit No. _____________

 

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