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2. **SUBMIT COMPLETED FILM PERMIT MINIMUM OF 30 DAYS PRIOR TO EVENT**

   Film Permit Fees: $100 for one day; $250 for two-six days; $500 for one – three weeks, and $800 for longer than three weeks, up to a maximum of five weeks. Filming more than five weeks shall require a new permit to be issued for each additional five-week period. Application fee is due at the time of application. Please call or email Nicole Wiebe at 425.888.1555 ext. 1158 or nwiebe@snoqualmiewa.gov to process application fee.  [Applications denied by the City shall be refunded the processing fee. Applicant to be liable for any overtime for City employees or other extraordinary expenses incurred by the city as a result of the special event.]

    

3. 
5. Filming Project Name
7. Filming Dates
8. Filming Times
10. Location (Please be specific)
12. Estimated Staff and Crew
16. Project Contact
18. Address
20. City
21. State
22. Zip Code
24. Day Phone
25. Email Address
27. Sponsoring Organization
29. On-site Contact Person Name
30. On-site Contact Person Cell Number
32. Tax Exempt ID Number (If Applicable)
34. Filming Project Description and Timeline
38. FILMING EVENT COMPONENTS
40. Does filming event include amplified sound?

    *Noise restrictions may apply.

    1. Yes

    1. No
42. If yes, describe.
44. Are you requesting additional police staffing?

    ^{*The City may require additional safety measures.}

    1. Yes

    1. No
46. If yes, describe.
48. Does filming event require overnight security?

    1. Yes

    1. No
50. If yes, indicate provider.
52. Does event require off-site parking or parking restrictions?

    ^{*A written agreement with the parking provider will be required.}

    1. Yes

    1. No
54. Does project include tents or enclosures?

    1. Yes

    1. No
56. If yes, describe and include dimensions and types of activities within structures, as well as rental equipment company name.
58. Will filming require constructing stages or other improvements?

    1. Yes

    1. No
60. If yes, describe and provide rental equipment company name.
62. Will there be any fenced areas?

    1. Yes

    1. No
64. If yes, describe and indicate on site map/plan submitted with application.
65. Attach site map/plan
67. Will you handle vehicle fuel?

    1. Yes

    1. No
69. TRAFFIC CONTROL/IMPACTS

    Please list any requested street and/or sidewalk closures, along with closure dates with start and end times.  Attach a traffic plan. 

71. Names of Street/Sidewalk
72. Date/Hour Start Time
73. Date/Hour End Time
75. Attach Traffic Plan
79. APPLICATION CHECKLIST

    1. Business License (Copy)
    2. Certificate of Insurance
    3. Timeline
    4. Notification of Affected Property Owner(s)

    1. Parking Agreement
    2. Site
    3. Traffic Plan/Route
81. Attach Business License
82. Attach Certificate of Insurance
83. Attach Timeline
85. Attach notification of Affected Property Owners
86. Attach Parking Agreement
90. INSURANCE REQUIREMENT

    A Certificate of Insurance naming the City as an Additional Insured in the minimum amount of $1 million per occurrence and $2 million general aggregate is required but may be more if the City determines it necessary for the proposed event. This certificate must be submitted and be acceptable to the city prior to receiving the Special Event Permit. You may obtain your own insurance or contact Washington Cities Insurance Authority for certain events.

94. OTHER PERMITS AND FEES

    Depending upon the nature and scope of the proposed event, other permits may be required as determined through the application process.  Other fees may be assessed (i.e., fire, aid and/or police services).   The City of Snoqualmie will make every effort to assist the applicant in determining complete permit requirements, though once identified, it will be up to the applicant to provide required and approved documentation where deemed appropriate.

98. HOLD HARMLESS STIPULATION - MUST BE SUMBITTED WITH PERMIT

    Permittee covenants and agrees to indemnify, defend and hold harmless the City, its officers, agents and employees from any and all claims actions, damages, liability, cost and expense, including reasonable attorney’s fees in connection with or occasioned, in whole or in part by any act or omission of Permittee, its officers , agents, employees, customers or licenses, or arising from or out of Permittee’s failure to comply with any provision of the Special Event Permit granted as a result of this application, regardless of whether it is alleged or proven that the acts or omissions of the City, its officers, agents or employees caused or contributed hereto.

100. Printed Name, Title
101. Date
103. Signature of Authorized Representative
105. By checking box I agree my typed name in the above box equates to my signature and acknowledgement that I understand and agree to all terms outlined in the Hold Harmless Stipulation.

     1. I agree
109. Notification of Denial and/or Rescission

     This application may be denied if the proposed activity disrupts traffic beyond practical solution; causes undue hardship to surrounding residents or businesses; requires the diversion of so many public employees that service is denied to the public at large; or fails to fall within City standards.  The permit may also be rescinded at any time if complete and accurate information was not provided on the application; if the event is not held within the terms of the permit; or if there is failure to comply with applicable legal requirements.  

113. FOR OFFICIAL USE ONLY

     Review Required: Building, City Clerk, Communications, Events, Finance, Fire, Parks & Public Works, Planning, Police

115. Date Rec'd
116. Receipt No.
117. Permit No.
119. Police Chief Approval
120. Date
Leave This Blank:


122. 1. Receive an email copy of this form.
123. Email address

     This field is not part of the form submission.

124. Submit

* indicates a required field