Departmental Meter Use - Annual Permit

This form may be submitted by the department head or authorized designee only.Void requests for citations issued against this permit must come from the pre-designated department contact.

Campus regulations state that departmental meter use permits may not be purchased for the exclusive use by individual faculty or staff.

Department Information

Department Name

Campus Address

Department Head

Last Name

First Name

Contact

Last Name

First Name

Email Address

Phone

Meter Permits Requested ($2,228 annually per Meter Permit; July 1 - June 30)

Permit 1

1. No. of Permits

Chart 1

Fund 1

Organization 1

Account 1

Program 1

Permit 2

2. No. of Permits

Chart 2

Fund 2

Organization 2

Account 2

Program 2

Permit 3

3. No. of Permits

Chart 3

Fund 3

Organization 3

Account 3

Program 3

Permit 4

4. No. of Permits

Chart 4

Fund 4

Organization 4

Account 4

Program 4

Permit 5

5. No. of Permits

Chart 5

Fund 5

Organization 5

Account 5

Program 5

Permit 6

6. No. of Permits

Chart 6

Fund 6

Organization 6

Account 6

Program 6

Permit 7

7. No. of Permits

Chart 7

Fund 7

Organization 7

Account 7

Program 7

Permit 8

8. No. of Permits

Chart 8

Fund 8

Organization 8

Account 8

Program 8

Special Request Notes

By clicking ACCEPT, you are agreeing to the fees, associated rules & regulations, and submitting the Departmental Space Rental request to the Parking Department.