<p> Permit # ______</p><p>CITY OF METTER APPLICATION FOR MOBILE HOME PERMIT</p><p>Date: ______Applicant Name: ______(Print) Applicant Mailing Address: ______</p><p>Address Mobile Home to be located at: ______</p><p>Lot Frontage: ______Lot Width: ______</p><p>Is mobile home going to be in a manufactured home park? Yes _____ No _____</p><p>If no, provide copy of plat from Courthouse.</p><p>Set up Contractor: ______State License #: ______</p><p>Plumbing Contractor: ______State License #: ______</p><p>Electrical Contractor: ______State License #: ______</p><p>Mechanical Contractor: ______State License #: ______</p><p>Exact description of use proposed: ______</p><p>Other structures on this property: ______</p><p>What size is the home: Width ______x Length ______= Sq. Footage ______</p><p>What year was it built: ______Serial Number: ______</p><p>Make: ______Model: ______</p><p>What type of exterior siding is found on the home: ______</p><p>What pitch (slope) is the roof: ______What material is the roof: ______</p><p>Type of heating/AC: ______Size of Electrical Panel: ______(Central, gas, etc.) (100 amps,200 amps, etc.)</p><p>No. of baths: _____ No. of bedrooms: _____ No. of rooms: ______</p><p>What material is to be used for foundation skirting: ______(A picture of inside and outside of home must be provided.) Cost of mobile home: $ ______</p><p>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</p><p>Zoning Class: ______Public Water: Yes ____ No ____ Public Sewer: Yes ____ No ____ </p><p>Septic Tank: Yes _____ No _____ Land Disturbance Permit Required: Yes ____ No _____</p><p>PROPERTY SET BACKS</p><p>Front yard: ______Side yard: ______Rear yard: ______Corner Side Yard: ______</p><p>Permit Issued to: ______Fee paid: $ ______</p><p>Fee Received by: ______Permit Issued by: ______</p><p>Comments by Inspector: ______</p><p>______</p><p>______</p><p>FEES</p><p>342 Building Permit: $ ______343 Site Inspection: $ ______</p><p>302 Sewer Fee: $ ______303 Water Fee: $ ______</p><p>346 Foundation Inspection: $ ______345 Electrical Inspection: $ ______</p><p>344 Plumbing Inspection: $ ______348 Heating/AC Inspection: $ ______</p><p>347 Energy Inspection: $ ______Total Fees: $ ______</p>