HomeMy WebLinkAboutADR2008-00131 RECEIVED
ADDRESS REQUEST
JEFFERSON COUNTY PERMIT CENTER FEB 2 9 2008
621 Sheridan, Port Townsend,WA 98368 (360) 379-4450
APPLICANT: Please fill out item 1 through 8. Fee as per Jefferson Cop 'rP
1. ew Address " I T 1'FT 1 17 CD
.®-N El ❑ Change ❑Review D"' �AV. I 111 > r'
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2. Applicant Name: L.9; „ , -.. Memo in f' -).yr 40 Ii ;, _ i �v /
3. Mailing Address: 6,2 f,TCG 3,,/ ��{ ��� j --- e_ do be & Sl h L
Town/State/Zip F/gOt rlc .t wA 98335 - 1,01 o ri pra 410-1, —
4. Telephone: Work d6o 602.61ih. Home:
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Location: Attach a Detailed Drawing or Map. place-
5.
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Additional Fees May Be Required if More Than One ? .° iyl✓e-rt-V lil lqb f
Site Visit Is Necessary
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*******PLEASE FLAG YOUR DRIVEWAY.******* CAi) �e re 4D 4/ 1560-60?
Date Flagged: 3/.2 /OOFlagging Color G✓ 4,,zeta 1KAW c2-, I1IQ -
Nine Digit Tax Parcel Number "._.5-2_ 8CX1803
Plat Name 6)H2Fe /c'5 AOp (Block & Lot / D f
6. Road Name: L 1 -ch b. -r
Is this a PRIVATE ocCOUNTY road? CHOCLE ONE
Nearest Cross Road:
7. Neighbors'Address if Known:
Name/Address:
Name/Address:
8 u Need To Construct a Driveway?
YES r NO CIRCLE ONE
FIELD NOTES
9 . •. This Submitted With A Building Permit?
or NO CIRCLE ONE rREFI -1�1.+'.l) Q o
tOl Og
SIIr1�.DED A AREAS OVFICE USE ONLY 31 / D�j C
New Address: ' -'r TD ! DPW D Pty (014 k) Fi lirf
Postal District : D K
Real Milepost: Road#:
kli) CiC9( 5 hd,4 re:Q U !e�D
(DF <.n9
mOYM
Left Right Fire District Building Permit# Plate Sent / /
Odd Even Date Paid2, /0)9/0g Check# Receipt# Date in Computer / /
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 $
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
If you are constructing a driveway that will connect with a county road, you must apply fo
a road approach permit. The fee is $ jam ' d
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 $ cs5G--
If you have additional questions, call the Department of Community Development at(360)379-4450.
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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 respect to its correctness or validity. Data contained in this
map is limited by the method and accuracy of its collection. Wed Mar 05 13:45:19 2008
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Parcel Number 952800803
Site Address:
62 FITCHBURG AVE
PORT HADLOCK 98339
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Public Works Road Inventory Tool
SEARCH FOR ADDRESS INFORMATION
ROAD NAME SELECT ROAD SEARCH
ADDRESS ROAD NAME CREATION DATE APPLICANT PARCEL NUMBER
111 W FITCHBURG AVE 01/01/68 _
140 W FITCHBURG AVE 01/01/68 _
141 W FITCHBURG AVE 01/01/68 _
160 W FITCHBURG AVE 01/01/68 -
161 W FITCHBURG AVE 01/01/68 _
180 W FITCHBURG AVE 01/01/68 _
210 W FITCHBURG AVE 01/01/68 -
231 W FITCHBURG AVE 01/01/68
240 W FITCHBURG AVE 04/20/90 ELLIS,NORMAN _
242 W FITCHBURG AVE 04/20/90 NORDBERG,
RICHARD
31 W FITCHBURG AVE 01/01/68
41 W FITCHBURG AVE 01/01/68 _
50 W FITCHBURG AVE 01/01/68
62 W FITCHBURG AVE 01/01/68
64 W FITCHBURG AVE 01/01/68 _
66 W FITCHBURG AVE 01/01/68 _
80 W FITCHBURG AVE 01/01/68
83 W FITCHBURG AVE 08/12/93 STANDERFER,
DELRAY
91 W FITCHBURG AVE 03/19/90 BISHOP,LOREN _
ADDRESS SEARCH ROAD SEARCH CREATE NEW ADDRESS CREATE NEW ROAD REPORTS