To be used when Seattle City Light is the property owner. An application fee is charged for review of the request and rental fees are charged if the request is approved. Uses that are allowed include gardens, landscaping, parking, and driveways. No buildings are allowed. All permits are temporary and may be canceled at any time by Seattle City Light.

To apply please print out, complete and mail the form below to:

Seattle City Light
Real Estate Services
700 5th Avenue, Suite 3300
Seattle, WA 98104

PERMIT APPLICATION


APPLICANT

Name_________________________________________________ Phone No.___________

Work

Company______________________________________________ Phone No.___________

Home

Address______________________________________________ State____Zip________

******************************************************************************************************
I hereby apply for permission to temporarily use the portion of City-owned
property as illustrated on the REVERSE SIDE for the following purpose(s):

____________________________________________________________________________

____________________________________________________________________________

____________________________________________________________________________

LEGAL DESCRIPTION of Permit Area:____________________________________________

____________________________________________________________________________

____________________________________________________________________________

____________________________________________________________________________

Located in Section_________, Township__________, Range__________E.W.M

ENCLOSED is the Administrative Fee to process the permit. Make checks payable
to Seattle City Light.

[ ] COMMERCIAL $100.00 [ ] RESIDENTIAL or AGRICULTURAL $50.00

(Administrative Fee is non-refundable unless the use is denied by City Light)

-----------------------------------------------------------------------------

It is understood that in addition to the Administrative Fee, an annual (or
monthly) fee will be assessed, in advance, based upon the fair market value,
plus any applicable state, county or city taxes. It is also understood that
all permits issued by City Light may be cancelled at any time upon 30 days
written notice.

Signed____________________________ Dated________________________________
Applicant

VICINITY MAP AND LOCATION OF PROPOSED PERMIT AREA

Scale_____________

(Please show streets, buildings, fences, or other features which relate to your request.)