Special Event Permit Application

Effective immediately, all Special Event Permit Applications must be completed and turned into the Bureau of Codes office no less than thirty (30) days in advance or your event wil not be approved.

Type of Event:
EventParadeStreet ClosureOther

This Event Is:
PublicPrivate

Is the Event Indoor or Outdoor:
IndoorOutdoor

Name of Event *

Start Date/Time *

End Date/Time *

Location *

Number of Attendees *

Sponsor Name *

City as Co-Sponsor *
YesNo

If yes, attach letter from mayor

Phone *

Alternate Phone

Email

First Name (must be present at event)*

Last Name (must be present at event)*

Address *

City *

State *
AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareWashington DCFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennslyvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming

Zip *

Phone

Alternate Phone

Email *

Length of closure
Up to and including (7) days - $75.00Up to and including (14) days - $125.00Up to and including (30) days - $225.00Up to and including (45) days - $300.00Each additional day after (45) days - $75.00 per day

Description of Work

Start Date/Time

End Date/Time

Location of Work

Side Streets

Attach a required Certificate of Liability Insurance for the street closure with permit application.

I the above-listed applicant have thoroughly read and understand the conditions of this application. I understand that I must be present at the event and must be easily accessible at this event. I also understand that this application needs to be completed at least 30 days prior to the event.
Applicant Signature: