SPECIAL EVENT PERMIT FOR SKAGIT COUNTY ROADS
Please submit with all required items at least 30 days prior to event
The Applicant, ________________________________________________________________________,
ts that Skagit County Public Works permit the use of the following County Road(s);
for the Special Event known as ____________________________________________________.
vent will take place on the _________________ of ______________________, 20______,
between the hours of _____________________ am / pm and _____________________ am / pm.
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
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 firstname.lastname@example.org. Please contact the Traffic Unit
of the Skagit County
Sheriff’s Office for Deputy assistance at 360-336-9450.
Signature * Permit Approved by
Sponsoring Organization* Date
City, ST, Zip*
□ Proof of Insurance $1,000,000 min.
□ Route & Staging Area Map
□ Completed & Signed Application
□ Sheriff’s Office Notified
Skagit County Public Works, 1800 Continental Place, Mount Vernon, WA 98273
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