Fillable TREET TREE PERMIT APPLICATION S (City of Sumner)

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TREET TREE PERMIT APPLICATION S (City of Sumner)

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Community Development 1104 Maple St, Sumner, WA 98390
S
TREET TREE PERMIT APPLICATION
Contact Email:
Property Owner Name:
Address of Adjacent Property:
Project Contact Name:
Contact Phone Number:
Insurance Coverage (Amount & Source):
TYPE OF PERMIT (please select one):
Tree Removal If there are multiple street trees at this location, please include a sketch in area below.
Number of trees to be removed: Size of tree(s):
Type(s) of tree(s):
Reason for Removal:
Who Made this Determination:
Who will do this removal? Include address and phone number if other than property owner.
Tree Planting Please include a sketch of tree planting in area below.
Number of trees to be planted: Type(s) of tree(s):
Source of trees (plus city location if from outside Sumner):
Yes, I will install a root barrier as well to protect my sidewalks.
Who will do the planting? Include address and phone number if other than property owner.
Major Tree Maintenance
Number of trees to be maintained: Type(s) of tree(s):
Largest branches to be removed (diameter at widest point):
Describe proposed work:
Who will do this maintenance? Include address and phone number if other than property owner.
SITE DRAWING
If removal or maintenance is
proposed, show location of street,
structures, and all street trees,
identifying those to be removed or
maintained. If planting is proposed,
show the distance from the new
trees to curb, sidewalk, driveways,
light and power poles, water
meters, power poles, fire hydrants,
street lights, alleys, street signs, and
other features which affect the
location of the trees. Attach
additional sheets if necessary. See
example sketch at end of form.
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Community Development 1104 Maple St, Sumner, WA 98390
APPLICANT STATEMENT
I understand that Washington State Law requires you mark the utilities pri
or to any digging, and I will
contact 1-800-424-5555.
I hereby certify that I have read and examined this application and all is said to be true under penalty of
pe
rjury by the laws of the State of Washington. All provisions of the conditions, laws and ordinances
governing this type of work will be complied with whether specified herein or not.
Owner: Date:
Contractor: Date:
For Official Use
Inspection: ____________________ By: _____________________________ Not applicable
Comments: __________________________________________________________________
___________________________________________________________________________
Permit Issued by: __________________________________________ Date: _______________
Conditions of approval: __________________________________________________________
PR
OPER PLANTING DISTANCES Minimum planting distances must be observed
Spacing between trees
Small columnar: 20 feet
Small spreading: 30 feet
Medium columnar: 30 feet
Medium spreading: 40 feet
Large: 45 feet
Boulevard: 50 feet
Specialty: determined by City arborist
Distance to curb: 3 feet
Distance to power pole: 10 feet
Distance to fire hydrant: 5 feet
Distance to water meter box: 5 feet
Distance to residential driveway: 10 feet
Distance to a street light: 15 feet
Distance to commercial/industrial driveway: 15 feet
Distance to alley right-of-way: 10 feet
Distance to street intersection: 30 feet
Distance to stop sign: 15 feet
INSURANCE REQUIREMENTS that apply
Purpose
Additional Requirements
Routine Care
No permit required, voluntary
Major care by abutting
property owner
No additional requirements
Major care by contractor
•
Commercial General Liability Insurance and$500,000 per occurrence
and $500,000 general aggregate.
• City named as additional insured.
• Washington State Contractor's License; and
• Sumner business license.
Removal by property owners
Hold harmless agreement
Removal by contractor
•
Commercial General Liability Insurance and$500,000 per occurrence
and $500,000 general aggregate.
• City named as additional insured.
• Washington State Contractor's License; and
Sumner business license.
Planting
Plan showing location, type, and size of trees with distances to curb,
sidewalk, poles, signs, driveways, intersections, fire hydrants, and alleys.
Community Development 1104 Maple St, Sumner, WA 98390
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TREET TREE PERMIT APPLICATION S (City of Sumner)

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Completed 24 January 2021

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