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2. An expressive activity event is.... ◦an event in which the sole purpose to express, or communicate opinions, views, or ideas. ◦No fee or donation is required to participate ◦No goods or services will be sold at the event ◦No fundraising will be conducted at the event. ◦Excludes sports events ◦No permit fee is required
4. None of the fields below are required, but for ease of your event, please provide the City with as much detail as possible
6. APPLICANT INFORMATION
8. First Name
9. Last Name
11. Company/Organization
13. Address1
15. City
16. State
17. Zip
19. Phone (Day)
20. Phone (Evening)
22. Phone (Cell)
23. Phone (fax)
25. Email
29. EVENT ORGANIZER INFORMATION
31. Company/ Organization
33. Chief Officer Name
35. Address1
37. City
38. State
39. Zip
41. Phone Number
43. Website
45. Email
49. EMERGENCY CONTACTS
    Please list two emergency contacts
51. Emergency Contact #1
52. Emergency Contact Phone #
54. Emergency Contact #2
55. Emergency Contact Phone #2
59. EVENT INFORMATION
61. Name of Event
63. Type and statement of the purpose of event
65. Event set-up date/time
    Event set-up date/time

    Event set-up date/time
66. Event tear down date/time
    Event tear down date/time

    Event tear down date/time
68. Proposed event location (including proposed plan for set-up and tear down, and proposed location of assembly and production area)
70. Facilities you plan to use

    1. Park
    2. Street
    3. Sidewalk
    4. Trail
    5. Parking Lot
    6. Other
71. If other, please specify
73. Please mark all items that apply to your event and provide details

    1. Amplified Sound
    2. Animals
    3. Bicycling
    4. Bleachers
    5. Boats
    6. Carnival Rides
    7. Caterer
    8. Company picnic
    9. Concert/Live music
    10. Cooking/barbecue

    1. Dance or Drama
    2. Dunk tanks
    3. Electricity/Generator
    4. Entertainers (clowns, etc.)
    5. Exhibits or Displays
    6. Fencing/scaffolding
    7. Festival
    8. Filming-video
    9. Filming- photography
    10. Fireworks

    1. Food
    2. Helium Balloons
    3. Marching Bands
    4. Parade/Floats
    5. PA (public address) system
    6. Rally/Protest
    7. Parking/shuttle
    8. Inflatable toys (i.e. bounce house)
    9. Race

    1. Run/Walk
    2. Satellite
    3. Stage
    4. Tables/Chairs
    5. Tents
    6. Theatre
    7. Vehicles
    8. Vendors
    9. Other
75. If other, please specify
77. Provide details for: the number and type of booths, tents, or other structures, the number of bands or other musical units, the nature of any equipment to be used and the nature and time of any activity at the event that will produce sounds or noises.
81. ATTENDANCE
83. Estimated total attendance
84. Estimate # of vehicles
86. Description of the types of vehicles to be used and location of event staff and volunteers
88. Transportation and Parking Plans
    Please provide the following on map(s) and a written explanation of each:  Detailed event site plan and layout/route (including a map and written narrative of the route).  Placement of signage, traffic control devices, barricades.  Location of traffic certified flaggers/monitor, and where you believe police officers are needed for traffic route/intersection control  Explain your parking and transportation plans.  Proposed alternate routes, sites or times, where applicable
90. Plans for security/crowd control, first aid/medical assistance and family reunification efforts
92. Plans for portable toilets, garbage and recycling collection, sanitation, and clean-up
94. Plans for notifying all agencies impacted by your event (i.e. residents, businesses, Everett Transit, Community Transit, Sound Transit, and DOT)
96. Will food be distributed at your event?

    1. Yes

    1. No
98. If yes, please explain plans (what type of food will be served? how will it be prepared? what food distribution/handling permits do you have?) If applicable, provide Health Permit # and Expiration Date
100. Additional documents
     Please upload additional documents here, such as a route or map, insurance documents, or community notification
102. The Permit Holder, its employees, agents, and volunteers (collectively “Permit Holder”) shall defend, indemnify, and hold the city, its officials, officers, employees, agents, and volunteers, harmless from and against any action, or claim for loss, liability, or damage, including claims for bodily injury or death, or damage to property arising out of or resulting from (a) Permit Holder’s use, in any manner, of city right-of-way or city-owned property for the permitted special event, and (b) Permit Holder’s non-observance or non-performance of any of the terms of Permit Holder’s special event permit. “City” means the City of Everett. This special event is intended to be for expressive activity as defined by Ordinance No. 3621-18, and the cost of obtaining insurance is financially burdensome and would constitute an unreasonable burden on the Applicant’s right of First Amendment expression. I certify that: 1) the information provided on this application is true and correct; and 2) I am authorized by the Applicant to submit this application on the Applicant’s behalf.*
     -- Select One --I agreeI do not agree
104. E-signature
105. Date signed
     Date signed
107. Full Name
108. Phone Number
110. Organization representing
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112. 1. Receive an email copy of this form.
113. Email address

     This field is not part of the form submission.

114. Submit

* indicates a required field