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The City of Portland, Oregon

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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Media Parking Permit Application

 

TO:  Bureau of Transportation System Management, Parking Control, 1120 SW 5th Avenue, Room 1302, Portland, OR 97204

The Undersigned is applying for a MEDIA PARKING PERMIT ($284/fiscal yr).  Under Title 16, City Code, a vehicle bearing this permit may:

PARK WITHOUT FEE AT ANY METERED SPACE FOR A MAXIMUM OF 2 HOURS WHILE COVERING SPECIAL EVENTS AND EMERGENCIES

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.  It is unlawful to display this permit in any vehicle other than that for which it is issued, and then only when the vehicle is parked as specified above.  THIS PERMIT MAY NOT BE USED IN COMBINATION WITH OTHER PERMITTED PARKING.

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 

Permittee:

 _________________________________________________________

Contact Name:

 __________________________Phone No. ______________________

Address:

_________________________________________________________

_________________________________________________________
       (City)                                                (State)                              (Zip)
Type of Service: _________________________________________________________________
License Numbers: ____________  ____________  ____________   __________

*******************************************************************
(Office Use Only Below)

Fee $_______ Date __________________ Permit No. _____________