SPECIAL EVENT PERMIT FOR SKAGIT COUNTY ROADS
Please submit with all required items at least 30 days prior to event
The Applicant, ________________________________________________________________________,
reques
ts that Skagit County Public Works permit the use of the following County Road(s);
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for the Special Event known as ____________________________________________________.
The E
vent will take place on the _________________ of ______________________, 20______,
between the hours of _____________________ am / pm and _____________________ am / pm.
Stag
ing for the Event will be located at ____________________________________________ and will
include sufficient off-street parking for all participants, officials, and spectators.
The Applicant has included in this application packet Proof of Liability Insurance for a minimum of
$1,000,000.00 naming Skagit C
ounty, 1800 Continental Place, Mount Vernon, WA 98273 as an
additional insured for the event. The Applicant has further included a Route and Staging Area Map
for the Event.
Skagit County Public Works strongly requests that events adhere to the following guidelines
•
Event Officials shall provide adequate traffic control using ANSI Class 2 high-visibility safety vests
for the Event and notify the Skagit County Sheriff’s Office for possible assistance
• Tha
t the Applicant, wherever possible, limit the use of routes that “double-back” along the same
roadway for the safety of its participants and Skagit County motorists.
• Participants shall obey the traffic laws in Skagit County (e.g. No four-abreast bicycle riding)
• Participants shall allow farm equipment and emergency vehicles to pass quickly and safely
• Participants shall respect all public and private property along the route
For further information and/or questions please contact Traffic Engineering at 360-416-1400 between
the hours of 7:30 a.m. and 4:30 p.m. or email traffic@co.skagit.wa.us. Please contact the Traffic Unit
of the Skagit County
Sheriff’s Office for Deputy assistance at 360-336-9450.
__________________________________________ ___________________________________________
Signature * Permit Approved by
__________________________________________ ___________________________________________
Name* Title
__________________________________________ ___________________________________________
Sponsoring Organization* Date
__________________________________________
Address*
__________________________________________
City, ST, Zip*
__________________________________________
Phone*
__________________________________________
Email
*Required information
□ Proof of Insurance $1,000,000 min.
□ Route & Staging Area Map
□ Completed & Signed Application
□ Sheriff’s Office Notified
Operations/Maintenance Notified
Skagit County Public Works, 1800 Continental Place, Mount Vernon, WA 98273
Phone 360.416.1400
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