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1 Application Information Applicant Information: Name Street Address City State Zip Phone Fax E-mail Location of Tree Work: (if different than the applicant’s info) Name Street Address City State Zip Phone Fax E-mail This permit application is only required if you would like to perform major pruning (defined as removal of branches over 2” in diameter) or remove a tree over 6” in diameter in the City of Puyallup’s right-of-way. This application serves as a right-of-way permit for work being done in the city right-of-way. When preparing this application, please print or type the reply to each question. If you have any questions, please contact the Development Services Center at (253) 864-4165. Application Fee: $50 for each tree removed over 6” in diameter – no charge for pruning work Office Use Only: Submittal Date: Case No: GIS: Inventory: CITY OF PUYALLUP Planning Division 333 South Meridian Puyallup, WA 98371 Phone: [PHONE REDACTED] Fax: [PHONE REDACTED] Checklist: A certified arborist is required to do all major pruning of trees in the City of Puyallup’s right-of-ways. Is your arborist certified by the ISA (International Society of Arboriculture) and also licensed, bonded, and insured? Any tree service that removes/prunes a tree in the City of Puyallup's right- of-ways is required to be licensed, bonded, and insured. All pruning must meet or exceed the pruning standards set in the ANSI A300 standards. Tree topping is strictly prohibited. Removed street trees must be replaced. Please provide replacement details, including proposed species, size, etc. Will the proposed work occur within 10’ of energized power lines? No private tree care company or property owner may perform work within 10’ of power lines – contact PSE at (360) 786-5992 for services near power lines Application to Prune or Remove a Tree Tree Work Information: Do you own the home at the location of tree work? yes no Did you plant the tree(s) that needs work? yes no If not, do you know who did? Which tree service do you plan on hiring to do the requested work? Company Name Contact Name Phone Fax E-mail Have you contracted this company yet? yes no Expected starting date of tree work: Expected ending date of tree work: ---PAGE BREAK--- 2 Planting Location: What is the purpose of the work to be performed? Routine maintenance – thinning/removal of branches Street clearance pruning View pruning Removal of dead or dying tree Other Indicate the number and types of trees that need to be pruned or removed. Describe the work requested and anything else we should know about this tree(s). Please be as specific as possible. If needed, you may use illustrations in the space below or attached to this permit. How will you be replacing the trees removed? What species, size, location, etc. will be used? CERTIFICATION: I hereby state that I am the applicant listed above, and certify that all information contained above and in exhibits attached hereto is true and correct to the best of my knowledge and belief and is submitted for consideration by the City of Puyallup, pursuant to the provision of the Puyallup Municipal Code. This permit expires 60 days after approval. All approved work must be completed within this timeframe, unless otherwise established at the time of approval. If the health of the tree is threatened because the pruning standards were not met, or if a tree in the right of way is topped, I may be required to replace the monetary value of the tree (based on the most current version of the "Valuation of Landscape Trees, Shrubs and Other Plants," published by the International Society of Arboriculture). By signing this application, you affirm the pruning work to occur will follow ANSI A300 standards and the tree(s) in question will not be topped or otherwise severely pruned. If removing a tree in the City right-of-way, I may be required to replace the monetary value of the tree (based on the most current version of the "Valuation of Landscape Trees, Shrubs and Other Plants," published by the International Society of Arboriculture). I shall be required to hire a certified arborist to evaluate the condition of the tree upon removal to determine its health and/or if the tree has special status. Both of these conditions will be determined by the Director or his designee. Signature of Applicant Date Signature of Owner Date (if different than the Applicant)