Port Orchard, WA · Kitsap County
Address and/or Road Name Request Form
This application lets property owners or applicants request address numbers, road names, or both for a property or development in Port Orchard.
What this form is
Use this form to request new or revised address numbers, road names, or both for a property or development in Port Orchard. It asks for applicant and property details, project information, and preferred road names, and lists the supporting plans and other materials required for different request types.
Who needs it
Applicants requesting address numbers, road names, or changes to existing or preliminary addresses for a Port Orchard property or development need this form.
How to submit it
Electronic submittals are required. Contact the Permit Center at [email protected] or (360) 874-5533 for formatting and resolution requirements.
About notarization
This form is signed without a notary; the document lists no notarized or sworn attachment, so the signer just signs and dates it.
How to submit this form
- 1
Download The Form
Download the Address and/or Road Name Request Form.
- 2
Complete The Application
Provide applicant, property, and project information, select the request type, and list preferred road names when applicable.
- 3
Gather Required Materials
Check the submittal requirements and include the applicable plot plans, floor plans, or revision statement.
- 4
Submit Electronically
Electronic submittals are required. Contact the Permit Center for formatting and resolution requirements.
Frequently asked questions
- Do I need a notary for the Address and/or Road Name Request Form?
- No. This form is signed without a notary, and it lists no notarized or sworn attachment. The signer just signs and dates it.
- Who uses the Address and/or Road Name Request Form?
- Applicants requesting address numbers, road names, or both for a Port Orchard property or development use this form. It also covers revisions to existing or preliminary addresses.
- How do I submit the Address and/or Road Name Request Form?
- Electronic submittals are required. Contact the Permit Center at [email protected] or (360) 874-5533 for formatting and resolution requirements.
- What supporting documents may be required?
- Requirements depend on the request. The form lists plot plans and, for some multi-family, commercial, or mixed-use buildings, floor plans. Revisions also require a statement describing what changed.
Need something notarized?
This Address and/or Road Name Request Form doesn’t need a notary — but if you have another Port Orchard form that does, a commissioned online notary can help.