HomeMy WebLinkAboutADR2008-00146 o
ADDRESS REQUEST
JEFFERSON COUNTY PERMIT CENTER
621 Sheridan, Port Townsend, WA 98368 (360)379-4450
APPLICANT Please fill out item 1 through 8. Fee as per Jefferson County Fee Schedule
1. New Address 111 Conection Change g DReview ITT DYTF'
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4. Telephone: Work 3 /.-dZ 93 Home: 385-Jl j ,
5. Location: Attach a Detailed Drawing or Map. II 5 I b 8
Additional Fees May Be Required if More Than One np
Site Visit Is Necessary 7o h
*******PLEASE FLAG YOUR DRIVEWAY.******* SAD � S
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6. Road Name:
Is this a PRIVATE or COUNTY ad? CIRCLE ONE
Nearest Cross Road:
7. Neighbors'Address if Known:
Name/Address: 9
Name/Address: - - '- ' ' •f 5
8. Do You Need To Construct a Driveway? 3
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"SKINC; JEFFERSON COUNTY
DEPARTMENT OF COMMUNITY DEVELOPMENT
621 Sheridan Street
Port Townsend, WA 98368
Al Scaif, Director
January 28, 2008
To whom it may concern:
The address or addresses listed below have been changed/corrected.
Parcel# Resident/Owner Old Address New Address
962112809 Kelli Hedin 132 S. Gary Ave. 61 Cascade Ave
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 ascalfAco.jefferson.wa.us FAX: (360) 379-4451
Easy Peel Labels A i- See Instruction Sheet
Use Avery®TEMPLATE 5161® Feed Paper for Easy Peel Feature AVERY®5161® ;
. 1
East Jefferson Fire & Rescue Kelli Hedin
1256 Lawrence Street 2022 Queen Anne Place
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
Etiquettes faciles a peter Consultez la feuille www.avery.com
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