CITY OF SAN JOSE
HYBRID VEHICLE PARKING PERMIT APPLICATION / LICENSE
Transportation, 200 E. Santa Clara St., CA 95113 (408) 535-3850
PLEASE PRINT
DATE
DATE OF PURCHASE:
Permit #:
APPLICANT’S NAME:
License Plate # (if available):
HOME ADDRESS (MAILING ADDRESS):
HOME PHONE #:
CITY: STATE: ZIP:
E-MAIL ADDRESS:
VEHICLE INFORMATION
Make: (Honda, Toyota, etc.)
Model: (Prius, Civic, Insight)
Dealer:
VIN #
This contract licenses you to park the above vehicle at City of San Jose Parking Facilities (Garages, Lots and Meters) according to the following terms and
conditions:
1.
The City of San Jose (“City”) will issue you a Hybrid Vehicle Permit (“Permit”) upon acceptance of this application.
2.
You must attach proof of purchase of your Hybrid Vehicle to this application, such as a copy of the bill of sale from a San Jose dealership. Only
new vehicles purchased after January 1, 2000 at San Jose dealerships are eligible. Used vehicles are not eligible for this program.
3.
Free parking is granted only at on-street parking meters within the City, and off-street parking facilities owned by the City or operated by the City.
The permit also allows free parking at the City’s Parks and Recreation facilities. At automatic pay machine locations please remember to visit the
central cashier office to get your ticket validated before returning to your vehicle.
4.
You must adhere to posted time limits at parking meters.
5.
You may not park at any of the City’s parking garages, lots or Parks for greater than 72 hours in any single instance.
6.
You must display your Permit on the rearview mirror of your vehicle facing out. This will allow parking control officers and attendants to
distinguish that your vehicle participates in this program. Remove the permit when the vehicle is being operated.
7.
This Permit is not transferable to other vehicles. Only the vehicle listed on this application may park for free.
8.
In the event that your Pe