Fillable RESIDENTIAL PARKING PERMIT Whidbey Lane - 2020 (City of Mukilteo)

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RESIDENTIAL PARKING PERMIT Whidbey Lane - 2020 (City of Mukilteo)

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City of Mukilteo, Washington
RESIDENTIAL PARKING
PERMIT Whidbey Lane - 2020
City of Mukilteo
11930 Cyrus Way
Mukilteo, WA 98275
(425) 263-8000
E-mail: permittech@mukilteowa.gov
Web Site: www.mukilteowa.gov
ANNUAL WHIDBEY LANE RESIDENTIAL PARKING PERMIT APPLICATION
FORM AND PERMIT - THIS PERMIT EXPIRES DECEMBER 31
ST
, 2020
Applicant Name:_____________________________________________________
Address:___________________________________________________________
_________________________________________________________________
Phone:____________________________________________________________
E-mail Address:______________________________________________________
Whidbey Lane: Whidbey Lane parking permits provide relief from the “No Parking 7:00
a.m. – 2:00 p.m.” zone; (see attached map).
Permanent Permit # 1
Permanent Permit # 2
Registered Owner:
Registered Owner:
Make:
Make:
Model:
Color : Year:
Model:
Color : Year:
Vehicle License #: State:
Vehicle License #: State:
Permanent Permit # 3
Permanent Permit # 4
Registered Owner:
Registered Owner:
Make:
Make:
Model:
Color : Year:
Model:
Color : Year:
Vehicle License #: State:
Vehicle License #: State:
Type of Document Used For Eligibility:
A. Driver’s License Number:
B. Other:
Number Of Visitor/Guest Permits Issued: ________Permit Numbers:______ and ______
Permanent Permits are valid only for the vehicle for which they are issued, only in the zone
designated, and only as long as the permit holder retains the vehicle and resides at the address
specified in the application. Visitor/Guest Permits are not assigned to a specific vehicle but
may only be used for vehicles used by guests of the residents.
O:\Parking\Zone Parking Programs\2020 Parking Program\2020 Residential Parking Application Whidbey Lane.pdf
O:\Parking\Zone Parking Programs\2020 Parking Program\2020 Residential Parking Application Whidbey Lane.pdf
PLACE RESIDENTIAL PARKING PERMITS (DECALS) PERMANENTLY ON THE
INSIDE BOTTOM CORNER OF THE DRIVER’S SIDE OF THE WINDSHIELD.
HANG GUEST PERMITS ON THE REARVIEW MIRROR.
I have been provided with an opportunity to examine the chapter pertaining to the parking of
motor vehicles on Public Rights-of-Way or in other City-Controlled Parking Areas (Chapter
10.08), and I am familiar with its terms.
The information given is said to be true under the penalty of perjury by the
Laws of the State of Washington.
APPLICANT’S SIGNATURE DATE
PERMIT APPROVED AND ISSUED BY
PARKING CLERK DATE
SUFFICIENT COPIES OF THIS PERMIT HAVE BEEN PROVIDED TO THE
APPLICANT FOR PLACEMENT IN THE GLOVE COMPARTMENT OF THE
VEHICLE(S).
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RESIDENTIAL PARKING PERMIT Whidbey Lane - 2020 (City of Mukilteo)

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Completed 4 August 2020

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