ContractParking Permit Application & Agreement • December 21st, 2017
Contract Type FiledDecember 21st, 2017NYCHA 129.007 (Rev. 3/09)PARKING PERMIT APPLICATION & AGREEMENT NEW YORK CITY HOUSING AUTHORITYACCOUNTING & FISCAL SERVICES DEPARTMENT DATE APPLICATION TYPE: LOST (Police Report Submitted) $25.00 FeeRenewal New Replacement Type STOLEN (Police Report Submitted) No ChargeREPLACEMENT Parking Permit / Old Sticker Permit-No Charge Intra-transfer (Same Development) Inter-transfer (Transfer to another Development) Cancellation Copies of Documents to be mailed with application/payment:Copy of valid Driver’s License Copy of valid Vehicle Registration Copy of valid Handicapped Permit (if applicable) VEHICLE OWNER INFORMATION Last Name First Name M. I. Daytime Contact # Street Address Apt. # City/Borough State Zip Code If NYCHA Resident, Development Name Tenant Account No._ _ Handicapped Non-Flat Rent/Project Based Section 8 Tenant/NYCHA Section 8 Development Non-Resident Senior Citizen Flat Rent/Non-NYCHA Resident On-Site EmployeePrevious Reserved Spot # If you are not sure of your rent type, p