Application for Mobile Home Permit

Permit # ______

CITY OF METTER APPLICATION FOR MOBILE HOME PERMIT

Date: ______Applicant Name: ______(Print) Applicant Mailing Address: ______

Address Mobile Home to be located at: ______

Lot Frontage: ______Lot Width: ______

Is mobile home going to be in a manufactured home park? Yes _____ No _____

If no, provide copy of plat from Courthouse.

Set up Contractor: ______State License #: ______

Plumbing Contractor: ______State License #: ______

Electrical Contractor: ______State License #: ______

Mechanical Contractor: ______State License #: ______

Exact description of use proposed: ______

Other structures on this property: ______

What size is the home: Width ______x Length ______= Sq. Footage ______

What year was it built: ______Serial Number: ______

Make: ______Model: ______

What type of exterior siding is found on the home: ______

What pitch (slope) is the roof: ______What material is the roof: ______

Type of heating/AC: ______Size of Electrical Panel: ______(Central, gas, etc.) (100 amps,200 amps, etc.)

No. of baths: _____ No. of bedrooms: _____ No. of rooms: ______

What material is to be used for foundation skirting: ______(A picture of inside and outside of home must be provided.) Cost of mobile home: $ ______

I hereby attest that I am the owner of the referenced property or have provided written permission from the owner to make this application. Signature of Applicant: ______Telephone Number: ______TO BE COMPLETED BY CITY

Zoning Class: ______Public Water: Yes ____ No ____ Public Sewer: Yes ____ No ____

Septic Tank: Yes _____ No _____ Land Disturbance Permit Required: Yes ____ No _____

PROPERTY SET BACKS

Front yard: ______Side yard: ______Rear yard: ______Corner Side Yard: ______

Permit Issued to: ______Fee paid: $ ______

Fee Received by: ______Permit Issued by: ______

Comments by Inspector: ______

______

342 Building Permit: $ ______343 Site Inspection: $ ______

302 Sewer Fee: $ ______303 Water Fee: $ ______

346 Foundation Inspection: $ ______345 Electrical Inspection: $ ______

344 Plumbing Inspection: $ ______348 Heating/AC Inspection: $ ______

347 Energy Inspection: $ ______Total Fees: $ ______