Ferry County E-911 GIS Mapping 350 E. Delaware Ave #3 Republic WA 99166 (509) 775-5225 ext. 1152 ferrygis@co.ferry.wa.us

New Address & Private Road Naming Application Form

New Address or Road: For new addresses and or road names please fill out pages 1

and 2 of the following document.

Change Road Name: to change the name of an existing private road please request a

“Private Road Name Change Request Form”.

Appeals: to appeal an address or road name please contact the Ferry County

Commissioners at 290 E Tessie Ave, Republic, WA 99166, (509)775-5225 x 2508 for the appropriate form.

For your information please read carefully the Ferry County Road Naming & Addressing

Ordinance 2019-03. A complete copy of the ordinance is available at: https://www.ferry-county.com/Commissioners under 2019 Ordinances, the Commissioner’s

office at 290 E Tessie Ave, Republic, WA 99166 or from this department.

Page | 1

Return to: Ferry County E-911 GIS Mapping

350 E. Delaware Ave #3

Republic WA 99166

(509) 775-5225 ext. 1152

ferrygis@co.ferry.wa.us

Name: _______________________________________________________________________

MailingAddress:_______________________________________________________________

______________________________________________________________________________

Home phone: __________________________________________________________________

Cell phone: ___________________________________________________________________

Email address: ________________________________________________________________

Are you requesting?

Address off of an existing road

Name a private road

I certify that the information provided on this form is accurate and that I have the right to request

changes to the address/road name etc.

Signature:________________________________________________Date_______________

Property information

Ferry County Parcel No: ________________________________________________________

Owners Name(s): _______________________________________________________________

Date property purchased: ________________________________________________________

Page | 2

Road naming:

Please carefully read through the Ferry County Road Naming & Addressing Ordinance 2019-03. A complete copy of the

ordinance is available online at: https://www.ferry-county.com/Commissioners under 2019 Ordinances. Write below your

desired road name. Remember that the road name, descriptor and spaces must be 15 characters or less. If none of your

chosen road names meet the criteria of the ordinance, you will be requested to provide additional road names.

First choice: _____________________________________________________________________________

Second choice: ___________________________________________________________________________

Third choice: _____________________________________________________________________________

Driveway information for addressing: Is there a driveway?

Yes

No

If yes, does it have a locked gate?

Yes

No

Driveway access road: _______________________________________________________________

Which direction is the driveway, in relation to the road? Please circle one:

NORTH SOUTH EAST WEST

Please give detailed directions to the driveway. Describe any nearby landmarks, buildings or unique features in

relation to the driveway access. Accurate distance measurements (Example: “Driveway is 7 feet east of white

mailbox, and 8 feet across.”) are extremely helpful in assigning the correct address, and substantially diminish the

possibility of having to be reassigned a different address later on. A map or sketch can be attached to this

application (Optional).

____________________________________________________________________________________________

____________________________________________________________________________________________

____________________________________________________________________________________________

____________________________________________________________________________________________

____________________________________________________________________________________________

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Address site information: Dwelling

Shop

Commercial

Undeveloped land/Other_________________________________________________________________