HomeMy WebLinkAboutApplicationPermit Application Page 1 of 2
DEPARTMENT OF COMMUNITY DEVELOPMENT
621 Sheridan Street, Port Townsend, WA 98368
Tel: 360.379.4450 | Fax: 360.379.4451
Web: www.co.jefferson.wa.us/communitydevelopment
E-mail: dcd@co.jefferson.wa.us
PERMIT APPLICATION
Steps in the Permit Process:
-Review application checklist to ensure all information is completed prior to submitting application.
-Make sure septic has been applied for and water availability has been proven.
-Make an appointment to meet with the Permit Technician by calling 360-379-4450.
-This is not a standalone application; it must be accompanied by a project specific supplemental application.
-Fees will be collected at intake. Additional fees may apply after review and payment is required before permit is issued.
For Department Use Only Building Permit #
Related Application #s: MLA #
Site Information
Assessor Tax Parcel Number:
Site Address and/or Directions to Property:
Access (name of street(s)) from which access will be gained:
Present use of property:
Description of Work (include proposed uses):
Wastewater - Sewage Disposal
This property is served by Port Townsend or Port Ludlow sewer system? YES
NO
If not served by sewer identified above, identify type of septic system below:
Type of Sewage System Serving Property:
Septic
Septic Permit #:
Community Septic Name of System:
Case #:
Are other residences connected to the septic system?
Additions or repairs to sewage system:
Is it a complete or partial system installation: Complete Partial
Has a reserve drainfield been designated? Yes No
Date of Last Operations & Maintenance check: Attach last report to application
Describe or attach any drainfield easements, covenants or notices on title, which may impact the property:
901092003, 901042005, 001332009, 001333017, 001333040, 001333014, 001333037, 001333038, 001333009, 001333051
From the Larry Scott Trailhead on South Discovery Road at Milo Curry Road, east to the utility corridor
between 132 and 210 Four Corners Road west of the PUD fenced yard, and south to Anderson Lake State Park.
S. Discovery Road, Four Corners Road, utility service road
Mix of commercial and transportation uses, County road shoulder, utility access, and forest lands.
Construct a new 3 mile segment of the Olympic Discovery Trail
from the south end of the Larry Scott Trail at Milo Curry Road running east and south to Anderson Lake State Park.
NOT APPLICABLE
This section is NOT APPLICABLE to the proposed project. Bathrooms are not included.