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ADDRESS REQUEST
JEFFERSON COUNTY PERMIT CENTER ?r ' a n 2-nn
621 Sheridan, Port Townsend, WA 98368 (360)379-4450
APPLICANT: Please fill out item 1 through 8. Fee as per Jefferson Count ee Schedule
1.Eg New Address ❑ Correction ❑ Change ['Review DIFF LEFT M.P. RIGHT DIFF
2. Applicant Name: A/V C/S 7,,CV D ' k
3. Mailing Address: PO BvX
Town/State/Zip ieT,LV PLOUtJ/ 0.141-61'81d615-
12746Of
4. Telephone:Work Home: ?r 1
5. Location: Attach a Detailed Drawing or Map.
Additional Fees May Be Required if More Than One
Site Visit Is Necessary
*******PLEASE FLAG YOUR DRIVEWAY.******* / a
Date Flagged: / / Flagging Color pen L O` J
Nine Digit Tax Parcel Number 0.0O6O9' 2Q � t( , 1 -
Plat Name 27 ,LUbL0 U)Block A-k 4-Lot
6. Road Nam es
/C)-11 �3 I c
Is this a PRIVATE or COUNTY road? CIRCLE ONE
Nearest Cross Road: N/L/
7. Neighbors'Address if Known: a1 L.60
Name/Address:
Name/Address:
8. Do You Need To Construct a Driveway?
CO or NO CIRCLE ONE
FIELD NOTES
9. Was This Submitted With A Building Permit?
YES or NO CIRCLE ONE
SHADED AREAS OFFICE USE ONLY PP'.✓
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New Address: ` o W h h b 'Y
Postal District: Po L( 'Q&)
Real Milepost: ( Q Road#:
Left Right Fire District Building Permit# 04_45 Plate Sent 3/5/
_
n Odd Even Date Paid a /1 $ /C� Check# ( 08 0 Receipt# Q54 Date in Computer 3/5 /jj
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JEFFERSON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT
ADDRESS REQUEST INSTRUCTIONS
o Complete the address request form in as much detail as possible. The most important
information to include is the complete name of the road where your property is located,
whether or not the property is in a plat, the nine digit parcel identification number and
the block/lot number. The fee is $156.00.
o You must also attach a vicinity map or drawing.
o Use the survey ribbons provided to flag both sides of your driveway. If your driveway is
not in yet, mark the location where the driveway will be. You must apply for a road
approach permit if your driveway will connect with a county road.
o The address technician from the Permit Center will assign your address within 5 working
days. The technician will visit the site and determine the address according to the
nearest milepost distance from the start of the road.
o The red address plate will be sent to your current mailing address, as indicated by you on
the address request form, within one week to ten days. The plate is to be posted at the
end of your driveway and is to be clearly visible from both directions.
o The Permit Center will notify the appropriate postmaster, fire district and emergency
services of your new address.
ROAD APPROACH INSTRUCTIONS
o If you are constructing a driveway that will connect with a county road, you must apply for
a road approach permit. The fee is $156.00.
o To complete the application for the permit, you will need to indicate the nature of work
and to include a simple sketch of the proposed work. You will also receive a survey
ribbon to mark the site.
o Once the permit inspector has visited the site, a permit will be drawn up and will include
the general conditions as well as any specific requirements concerning your site.
o The permit will be sent to you for you to read and sign. You are then asked to return the
permit to the Permit Center for the permit inspector to sign. You will receive a copy of the
signed permit. The permit is valid for a period of one year.
IF BOTH THE ADDRESS REQUEST AND THE ROAD APPROACH PERMIT IS APPLIED FOR
AT THE SAME TIME, THE TOTAL FEE $156.00.
If you have additional questions,call the Department of Community Development at(360)379-4450.
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Map Output Page 1 of 1
ArcIMS HTML Viewer Map
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FOR INFORMATIONAL PURPOSES ONLY-
Jefferson County does not attest to the accuracy of the data contained herein and makes no warranty with respec
in this map is limited by the method and accuracy of its collection. Mon Feb 23 12:23:47 2009
http://gisserver/servlet/com.esri.esrimap.Esrimap?ServiceName=ovmap&ClientVersion=4.... 2/23/2009
Address Database Comparison Page 1 of l
Enter Street Name String: Or Enter Parcel Number:
Go
PUBLIC WORKS DB ADVANTAGE DB ASSESSOR DB MASTER
ADDRESS PARCEL ADDRESS PARCEL ADDRESS PARCEL ADDRESS PARCEL
103 WHEELER LN 9v:! '<:;0 325 103 WHEELER LN 99060032.7 40 WHEELER LN 990600316 ISO WHEELER LN 990600325
111 WHEELER LN 111 WHEELER LN 990600324 50 WHEELER LN 990600317 1.11. WHEELER LN 990600324
121 WHEELER LN 121 WHEELER LN 990600323 103 WHEELER LN 990600325 121 WHEELER LN 990600323
122 WHEELER LN 9906_00322 122 WHEELER LN 990600322 111 WHEELER LN 990600324
122 WHEELER LN 990600.322 40 WHEELER LN 990600316 121 WHEELER LN 990600323
40 WHEELER LN 990600316 50 WHEELER LN 990600317 122 WHEELER LN 990600322
50 WHEELER LN 990600317
50 WHEELER LN 990600317
61 WHEELER LN
For an address search, leave the parcel field blank.This is the signal that you want an address search. For a parcel search, enter the
nine digit parcel number. During a parcel search it does not matter what you have in the address box.
This tool uses a "fuzzy"search so if you enter"ZELATCHED"you will get all addresses that have that word in it. If you enter
"ZELATCHED POINT RD"you will only get the addresses that have that exact sequence of characters in it. This should allow you to
identify the source of many of the discrepancies between the data sources. For instance, searching for"AZALEA LN"gives only 5
addresses in the Advantage DB. Searching for just"AZALEA"adds another address because one was entered incorrectly as"AVE".
I purposely did not make a street picklist so you can have flexibility in your searches.
The far right column is the final list of addresses that will be loaded into the AS400. Clicking on the
address field will give you details about the address. On the details page you can click on links to get a map of the road or search
for more addresses on the parcel. Addresses that have a parcel that is not on our parcel map will not show up on this list as a
hyperlink.
There are many"dummy"addresses in the Advantage DB. Most of these have been filtered out by checking for a blank street
address number. The Assessor DB has been filtered by checking for null in the street address number field.
Let me know if this tool is useful and/or how it can be made more useful.
http://www.co.jefferson.wa.us/idms/devtest/address.asp?street=WHEELER+LN&parcel= 2/23/2009