The crash happened about 7:10 a.m. along W. Main Street, just west of Highway 522.
The victim was working at a construction site there and had just parked his dump truck and gotten out, Monroe police spokeswoman Debbie Willis said.
A Monroe man, 31, was westbound in a Lincoln Town Car. The car left the roadway, hit several construction barrels and then struck the victim and his truck.
The victim was taken to Harborview Medical Center with a head injury and broken legs, Willis said.
The cause of the crash remained under investigation.
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