HomeMy WebLinkAboutADR2008-00119 RECEIVED
ADDRESS REQUEST
JEFFERSON COUNTY PERMIT CENTER FEB - 6 2008
621 Sheridan, Port Townsend, WA 98368 (360)379-4450
APPLICANT: Please fill out item 1 through 8. Fee as per Jefferson County Fee Schedule 'pp
1. U New Address ❑ Correction ❑ Change ❑Review DIFF LEFT M.P. RIGHT 'RIFF
2. Applicant Name: A t ;^ d GL
3. Mailing Address: erI /4r3
Town/State/Zip A, T
4. Telephone: Work g7741-0Y?Home: 37,0-3,97,1--
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.*******
Date Flagged:p /V./Oelagging Color any yf
Nine Digit Tax Parcel Number a?I - 340 • ago
Plat Name 4.1.65 t p Block Lot , Co
6. Road Name: Rr, sJ 4- 5
Is this a PRIVA E or tOUNTY road? CIRCLE ONE
Nearest Cross Road: rilQce k/A
7. Neighbors'Address if Known: (�
Name/Address:
Name/Address:
8. 0 : Need To Construct a Driveway?
i r NO CIRCLE ONE
FIELD NOTES
is Submitted With A Building Permit?
9. ?
or NO CIRCLE ONE , ���swD�y
SHADED AREAS OFFICE USE ONLY
New Address: ��
Postal District: As=h t"C I) -
Real Milepost: Road #: A V'
_ �lCL: V
Left Right Fire District Building Permit# 0`7 --,(o j/ Plate Sent -' /1 i /0•,}
Odd ;Even Date Paid a /C /CA Check# 7 (D-, Receipt# 95 i5a(a Date in Computer hi 13%
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y JEFFERSON COUNTY
DEPARTMENT OF COMMUNITY DEVELOPMENT
621 Sheridan Street
Port Townsend, WA 98368
Febry II 2008
To whom it may concern:
The address or addresses listed below have been changed/corrected.
Parcel# Resident/Owner Old Address New Address
931300016 Seven Bridges Properties 91 Meg's Way 162 Frayne Street, Port
LLC Hadlock, WA 98339
If you have any questions please contact:
Jefferson County Department of Community Development
621 Sheridan Street
Port Townsend, WA 98368
(360)379-4450
Building Permits/Inspections Development Review Division Long Range Planning
(360) 379-4450 ascalf(aaco.iefferson.wa.us FAX: (360) 379-4451
East Jefferson Fire & Rescue Seven Bridges Properties LLC
1256 Lawrence Street PO Box 1953
Port Townsend, WA 98368 Port Townsend, WA 98368
Assessor's Office Information Services/Archives
In House Mail In House Mail
Sheriffs Office Auditor's Office
In House Mail Attn: Betty
In House Mail
Sprint/United, 911 Operations Puget Sound Energy
Sprint— OHMANM0101 Port Townsend Service Center
25 S. Mulberry 310 Four Corners Rd
Mansfield, OH 44902 Port Townsend, WA 98368
Jefferson General Hospital Quest Communications, Address Mgmt Ctr
Attn: Emergency Room Attn: Bert Goodell
834 Sheridan 1600 7th Ave, 12th Floor
Port Townsend, WA 98368 Seattle, WA 98191
lndtrado Port Townsend Post Office
Attn: James Davis Attn: Postmaster
1601 Dry Creek Dr. 1322 Washington Street
Longmont, CO 80503 Port Townsend, WA 98368