APPLICATION FOR RESIDENTIAL PARKING ZONE (RPZ) PERMIT

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  1. If you wish to obtain permits for your vehicles, please complete the information below for vehicles owned. Each residential unit in the RPZ is allowed one permit for each vehicle owned, plus two additional permits for visitors.



Vehicle Information. Provide the following information for each vehicle parked in the RPZ.
 Vehicle #1Vehicle #2Vehicle #3
Year
Make
Model
Ext color
License #
State
Style of permit *
Style of permit
Style of permit
Vehicle Information. Provide the following information for each vehicle parked in the RPZ.
 Vehicle #4Vehicle #5Vehicle #6
Year
Make
Model
Ext color
License #
State
Style of permit
Style of permit
Style of permit

I acknowledge I live in the Residential Parking Zone. I have been provided the opportunity to examine Chapter 8.54 of the Ellensbur4g Municipal Code and I am familiar with the terms thereof.



Sign and date *
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  1. NOTE: If submitting this form electronically, please type your name and date on the corresponding lines above. Please review the electronic submittal disclaimer, and check box to acknowledge.

  2. By placing your typed initials in the box, typing your name and date in the applicant/citizen signature field, and submitting this form electronically, I CERTIFY that all the information I am providing on this form is true and correct to the best of my knowledge. I also understand that my electronic signature is legally binding as if I were physically signing the form. I understand that any material misrepresentation, omission or falsehood may result in rejection or nullification of my application.

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