Ordinance 651-79 - Laserfiche WebLink

STREET TREE PLRhi i cverctt AND APPLICATION WORK LOCATION ADDRESS • • NAME OF LEGAL OWNER OR AGENT • BUSINESS PHONE NO , HOME PHONE NO. PERMIT ISSUED BY DATE. EXPIRATION DATE R-O-W USE PERMIT REQ'D? YES NO "CONSENT TO REMOVE" REQ'D? YES NO_,,_ WORK TO BE DONE: TRIM PLANT TRANSPLANT OTHER REASON FOR WORK: CONSTRUCTION DISEASE/INSECT SAFETY STREET/UTILITY DAMAGE OTHER SPECIFY) TREES TO BE PLANTED: SPECIES SIZE NO. CONDITION SPECIES SIZE NO. CONDITION SPECIES SIZE NO. CONDITION SPECIAL CONDITIONS tzvhsitwsrammesneetiemm • - •-4 • - •-*e as xer i r+ r akin srce *pita to 1. Permitee must comply with applicable conditions of Section(s) inclusive of the Municipal Code of Everett . 2. Only those trees or' plants specified on this permit shall be used. All permit conditions shall be followed . 3. When removing public trees, trees shall be removed by the root , all holes completely filled, and debris removed, all at the permitees expense. 4. Adequate barricades shall be provided for public safety. lighted at night . Sidewalks must be kept clear at all times. 5. Permit applications must be made to the Building Department , City Hall , or the Park Department Park Maintenance Division , Forest Park , at least two business days before starting work. No work will begin before this permit is issued. • 6. Within five business days of work completion , notify Park Maintenance Division office for final inspection. Should work not be completed by the expiration date shown above, a new permit application is required. FOR CITY USE ONLY ! PLANTING STRIP MEDIAN STREET DEPARTMENT: RECOMMENDED NOT RECOMMENDED REASON UTILITIES DEPT : RECOMMENDED NOT RECOMMENDED REASON TRAFFIC DEPT: RECOMMENDED NOT RECOMMENDED_ REASON_ OVERHEAD OBSTRUCTION INSPECTED BY: DATE_ r. J1CCEPTED___REJECTED ACTION_ _ __