Special Events Permit Application 2018

See the Special Events Permitting Guide for the Sections.  Questions marked with an * are required.

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* 1. Name of the Special Event:

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* 2. Event Date(s):

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* 3. Special Event Sponsor / Organizer:

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* 4. Beneficiary of Special Event (if any):

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* 5. Event Sponsor / Organizer Mailing Address:

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* 6. Event Sponsor / Organizer Primary Contact Name:

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* 7. Event Sponsor / Organizer Primary Contact Phone (include area code and no spaces or dashes):

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* 8. Event Sponsor / Organizer Primary Contact Email Address:

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* 9. Event Sponsor / Organizer Secondary Contact Name:

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* 10. Event Sponsor / Organizer Secondary Contact Phone (include area code and no spaces or dashes):

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* 11. Event Sponsor / Organizer Secondary Contact Email Address:

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* 12. By clicking below, you acknowledge your understanding of the Special Events Permitting Guide, and will remit payment of the application fee upon receipt of invoice to the Utilities office.  The application fee is non-refundable. Payment can be remitted via cash, check, or credit card.  

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* 13. Please see the insurance requirements listed as Section A. Please complete the following field with your insurance information.  You must submit the required Certificate of Liability Insurance evidencing the types and amounts of insurance required, accompanied by proof that the City of Oak Harbor is an additional insured, using ISO Form CG 20 12 or coverage at least as broad.  See the Section A: Insurance Worksheet for more information.

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* 14. Event Description:

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* 15. Anticipated number of attendees:

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* 16. Location requested (please check ALL that apply; for facilities that require a reservation fee, please see Section D & accompanying form.  Paid facilities reservations should be made as soon as possible as they are first come first served.  Paid facilities reservations may be made in advance of submission of this form).

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* 17. Please select all features that apply to your event:

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* 18. Restroom Facilities (check all that apply)

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* 19. Garbage / Recycling Plan (check all that apply to your event; see Section P and form):

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* 20. Traffic Control requested (check all that apply):

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* 21. City signage requested:

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* 22. Event organizers must notify neighbors and businesses within 500 ft. of the event, (if applicable) at least two (2) weeks prior to the event. Notification should be in writing (email is acceptable) and include times when traffic/parking and/or noise may be affected in the area.  Signature of your Conditions of Approval indicates you have completed the neighborhood notification and can provide copies of the notification and physical / email addresses where sent if requested (see Section Q). Please check one of the following:

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* 23. Food sales / food consumption (please check one, see Guide Section I):

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* 24. Alcohol sales / consumption (please check one, see Guide Section E):

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* 25. Please use this space to list any additional information you were not able to include in another part of this form.  Please reference the question # or Guide Section if applicable.

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* 26. Checklist for submission of Special Event Permit application: Please check each box to indicate which additional items you will be submitting as a part of this Special Event Permit application.  Please note that items marked with * are required for every event.  Documentation should be submitted to specialevents@oakharbor.org or delivered to the Special Events Permitting Coordinator located in the Development Services Department, downstairs at City Hall.

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