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2. **APPLICATION DUE 30 DAYS PRIOR TO EVENT**

   Special Event Permit $35 application fee 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. Event Name
6. Event Date(s)
8. Event Location (Be Specific)
9. Event Times
11. Estimated Event Attendance
15. Applicant Name
16. Email Address
18. Address
20. City
21. State
22. Zip Code
24. Phone Number
26. Sponsoring Organization
27. Tax Exempt ID #
29. On-site Contact Name & Phone #
31. Event Type

    1. Concert or Performing Arts
    2. Fair/Carnival

    1. Festival
    2. Parade

    1. Cycle or Race/Run
    2. Other (Describe Below)
33. If checked other, please describe event type.
37. EVENT HISTORY & OVERVIEW
39. Has Event Been Produced Before?

    1. Yes

    1. No
41. If yes, when and where.
43. Event Description

    ^{Describe event and attach site map indicating boundaries, location of tents, activity areas, portable restrooms, etc.} 

45. Attach Event Timeline

    ^{Upload timeline, sequence of events, including equipment deliveries, set-up and tear down.} 

46. Attach Event Site Map
50. ADMISSIONS & VENDORS
52. Will items or services be sold at event?

    1. Yes

    1. No
54. If yes, describe.

    ^{NOTE: City of Snoqualmie business license is required.} 

56. Does event accept donation or charge admissions?

    ^{*Registration for admissions tax is required. Nonprofit status is exempt.}

    1. Yes

    1. No
60. ALCOHOL & FOOD
62. Does event include sale of sale or consumption of food?

    ^{*Special Occasion License requires 45-day notice.}

    1. Yes

    1. No
64. If yes, describe and attach copy of State permit.
65. Attach State Permit*
67. Will vendors cook or heat food?

    ^{*Compliance with King County Health Department required.}

    1. Yes

    1. No
69. If yes, describe.
73. AMPLIFIED SOUNDS
75. Will event have amplified sound?

    1. Yes

    1. No
77. If yes, describe.
79. Does event include fireworks?

    1. Yes

    1. No
81. If yes, provide company name, contact, email, and phone #
85. EVENT COMPONENETS
87. Does event include animals (petting zoo, pony rides, dog walk/run)?

    1. Yes

    1. No
89. If yes, describe.
91. Does event include inflatables?

    ^{*No staking into ground}.

    1. Yes

    1. No
93. If yes, desribe.
95. Does event require off-site parking or parking restrictions?

    1. Yes

    1. No
97. If yes, describe

    ^{*Written agreement with parking provider will be required.}

99. Does the event require electricity?

    1. Yes

    1. No
101. If yes, describe.
103. Does event require generators?

     1. Yes

     1. No
105. If yes, describe and indicate provider.
107. Will there be handling of vehicle fuel?

     1. Yes

     1. No
109. If yes, describe.
111. Will event use/post signage, banners, or a-frames?

     1. Yes

     1. No
113. If yes, describe desired locations and timeline requested.
115. Does event include enclosures like tents or canopies?

     1. Yes

     1. No
117. If yes, describe and indicate dimensions and types of activities within structure(s) and provide rental equipment company.
119. Does event include stage(s) construction or other improvements?

     1. Yes

     1. No
121. If yes, describe and indicate rental equipment company.
123. Does event include any fenced areas?

     1. Yes

     1. No
125. If yes, describe and indicate on site map/plan attached to application.
126. Attach Site Map/Plan
128. Does event function with volunteers?

     1. Yes

     1. No
130. If yes, describe.
132. Will event have portable restrooms, sinks, hand washing stations?

     1. Yes

     1. No
134. If yes, how many?
136. Will event provide garbage/recycling containers?

     1. Yes

     1. No
138. If yes, how many?

     ^{*Waste Management is the City of Snoqualmie garbage/recycle/yard waste provider}

142. TRAFFIC CONTROL & IMPACTS

     Please list below any requested street and/or sidewalk closures, along with date/hour start and end times, and attach traffic plan.

143. Attach Traffic Plan
145. Name of Street/Sidewalk
146. Date/Hour Start Time
147. Date/Hour End Time
151. FIRST AID & SAFETY
153. Will event require additional fire dept. staffing?

     1. Yes

     1. No
155. If yes, describe.

     ^{**NOTE: The City may require additional additional staffing.**}

157. Does event require additional police dept. staffing?

     1. Yes

     1. No
159. If yes, describe.

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

161. Does event require overnight security?

     1. Yes

     1. No
163. If yes, provide provider.
165. Describe First Aid Plan of Action
169. INSURANCE REQUIREMENTS

     A Certificate of Insurance naming the City of Snoqualmie 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.

171. Attach Certificate of Insurance
175. 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.

179. HOLD HARMLESS STIPULATION - MUST BE SUBMITTED WITH APPLICATION

     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.

181. Printed Name, Title*
182. Date*
184. Signature of Authorized Representative (type signature below)*
186. 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
190. Notice of Application 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.   

194. FOR OFFICIAL USE ONLY

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

196. Date Rec'd
197. Receipt No.
198. Permit No.
200. City Administrator Approval
201. Date
Leave This Blank:


203. 1. Receive an email copy of this form.
204. Email address

     This field is not part of the form submission.

205. Submit

* indicates a required field