Fillable BUILDINGTREE REMOVAL PERMIT APPLICATION (City of West University Place)

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BUILDINGTREE REMOVAL PERMIT APPLICATION (City of West University Place)

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The BUILDINGTREE REMOVAL PERMIT APPLICATION (City of West University Place) form is 2 pages long and contains:

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U.S.A. forms for City of West University Place

BROWSE CITY OF WEST UNIVERSITY PLACE (TX) FORMS

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3826 AMHERST ST. WEST UNIVERSITY PLACE, TX 77005 | 713.662.5833 | INSPECTIONS@WESTUTX.GOV
PAGE 1 OF 2
INSPECTION REQUEST LINE 713.662.5805 | 24/7—BEFORE 7:45
a m FOR SAME DAY
Public Works Department
Development Services
BUILDING–TREE REMOVAL PERMIT
APPLICATION
TREE REMOVAL
TREE(S) CONDITION
DEAD DYING DISEASED NONE
IF NONE, THEN STATE REASON FOR REMOVAL
TYPE OF TREE(S)
TREE(S) LOCATION—CHECK ONE
FRONT YARD REAR YARD SIDE YARD
IF IN REAR YARD, IS THERE ACCESS?
YES NO
OWNER SIGNATURE DATE
PROJECT
ADDRESS
CITY STATE ZIP CODE
OWNER
FIRST NAME LAST NAME
MAILING ADDRESS
PHONE NUMBER EMAIL
CONTRACTOR
FIRST NAME LAST NAME
COMPANY NAME
PERMIT NUMBER
ADDRESS
PHONE NUMBER EMAIL
TREE REMOVAL PERMIT
Contractors are required to be registered and
provide a copy of their general liability insurance
that names the City of West University Place as the
certificate holder with at least a $300,000 policy
prior to pulling a permit. Registration fee is $75.
Initials _______
3826 AMHERST ST. WEST UNIVERSITY PLACE, TX 77005 | 713.662.5833 | INSPECTIONS@WESTUTX.GOV
PAGE 2 OF 2
INSPECTION REQUEST LINE 713.662.5805 | 24/7—BEFORE 7:45
a m FOR SAME DAY
FOR OFFICE USE ONLY
INSPECTION DATE
TREES TO BE REMOVED
TREE 1 TREE 2 TREE 3 TREE 4 TREE 5
SPECIES TYPE
INCHES DIAMETER
TOTAL POINTS (USING TABLE BELOW)
PERCENTAGE
REPLACEMENT INCHES
TOTAL REPLACEMENT INCHES
EXISTING TREES FRONT REAR
TOTAL
MPS REDUCTION APPLICABLE
YES NO
TREE REMOVAL PERMIT
PERMIT DESCRIPTION
NO REPLACEMENT REQUIRED DUE TO
NO PERMIT FEE
TREE CONDITION ASSESSMENT TABLE
POINTS CONDITION SPECIES SIZE
AESTH/
SCREEN
ENERGY SAFETY ADJ/TREE H20/ROOTS WILDLIFE AGE
1
POOR CLASS 4 < 8" DIA POOR POOR HAZ-LOW MANY-HI POOR POOR < 20 YEARS
2
FAIR CLASS 3 8–16" DIA FAIR FAIR HAZ-MED HAZ-MED FAIR FAIR 20–40 YEARS
3
GOOD CLASS 2 16–25" DIA GOOD GOOD HAZ-HIGH FEW ADJ. GOOD GOOD + 40 YEARS
4
EXCELLENT CLASS 1 +25" DIA EXCELLENT EXCELLENT NOT HAZARD LONE TREE EXCELLENT EXCELLENT REGIS. & RARE
COMMENTS
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BUILDINGTREE REMOVAL PERMIT APPLICATION (City of West University Place)

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Completed 5 August 2020

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