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2. Request for Master Film Permit for Public Property
4. Location Form Applications Must Be Submitted Electronically Via This Form
   A separate location form is required for each public filming location
6. Permit #
7. Project Name
8. Location #
12. Location Information
14. I Hereby Apply For Permission To Use Or Occupy Public Property, For The Sole Purpose Of Filming*
16. Location*
18. Day 1
19. Date*
    Date
20. Day of Week
21. Start Time/End Time
23. Day 2
24. Date*
    Date

    Date
25. Day of Week
26. Start Time/End Time
28. Day 3
29. Date*
    Date

    Date
30. Day of Week
31. Start Time/End Time
33. For any days beyond 3 at the same location, please describe here
35. A separate Noise Variance is required for any exterior film work or equipment load-in taking place outside of regular work hours (7am to 10 pm on weekdays;9am to 10 pm on weekends). Sign-offs from adjacent neighbors will be required for work outside of regular hours. See Everett Film Manual for more information.
37. B-Roll/Scenic Filming
38. Begin Date/End Date*
    Begin Date/End Date Start Date

    Begin Date/End Date Start Time

    —

    Begin Date/End Date End Date

    Begin Date/End Date End Time
40. To be considered "b-roll/scenic a production must meet all of the following criteria:
42. Five or less total cast and crew
43. No interruption to pedestrian activity
45. Only one camera
46. No electrical generation, wires, cables run, or lights set up
48. Outdoor production only
49. Public parking will not be impacted
51. Traffic control not required
52. Not filming in City Park
56. Filming Details
58. Film Activity: Describe in detail the filming activity that will be taking place at this location
60. Equipment: Describe any equipment that will be set up on public property, including details on size and usage (amperage of generators, size of jib arm, dolly track, ets.)*
62. Pedestrian Traffic: Will your production need to hold pedestrian traffic at any point during filming?
64. Vehicle Traffic: Will your production need to hold vehicle traffic at any point during filming? If yes, see Police Staffing section
68. Community Notification
70. All residents/businesses in at least a one-block radius from filming activity must be notified in writing a minimum of 72 hours prior to filming. Sign-offs from adjacent neighbors will be required for work outside of regular hours. See Everett Film Manual for more information.
72. Describe the steps you have taken or will take to notify affected residents and/or businesses of your filming activity
76. City Resources
78. Street Parking
80. Street parking spaces can be reserved only for working production vehicles. No cast, crew or personal vehicles are allowed. See Everett Film Manual for more information. Your location map must show street parking spaces designated in this section.
82. Are you requesting to reserve any street parking at this location? If yes, fill in information below
84. Total production vehicles*
85. Total number of street spaces requested to reserve
87. List department vehicles and lengths (example-Grip Truck 24')
89. Police Staffing
91. Film companies are required to have police services if filmproduction requires traffic control and revisions, weapons (replicas or real) safety hazards, filming depicting police activity (detectives/police making arrests with handcuff, etx.) or unusual circumstances which could create alarm to the citizens of the City. Fees for required police staffing will be paid by Film Company. See Everett Film Manual for more information.
93. Do you require any police staffing at this location? If yes, fill in information below
95. Describe activity/needs
97. Additional City Staffing
99. Under some circumstances, additional City staffing may be required for the use of some facilities at an additional cost. If applicable, the Film Office wil ldiscuss with you upon review of your application. See Everett Film Manual for more information.
103. Location Map
105. A detailed map is required for each location, including the following information relevant to your production
107. Filming Activity
109. Location(s) of camera and other equipment
110. Location(s) of generator
112. Exact Parking Locations
114. No Parking barricade locations
115. Production Vehicle Parking
117. Traffic Control
119. Street closures or intermittent traffic control
120. Sidewalk closures or intermittent pedestrian control
122. Directon of moving vehcles for driving shots
124. Any other significant space usage
126. Upload map: a separate location map is required for each public filming location.
Leave This Blank:


128. 1. Receive an email copy of this form.
129. Email address

     This field is not part of the form submission.

130. Submit Submit and Print

* indicates a required field