Purchase a Manufactured/Mobile Home Permit


Our Credit Card payment page was updated April 29th, 2015. To meet current security standards, we are now validating on the billing address for the credit card.

Job Site Information - * Indicates required fields
Applicant
Site owned by *
Mailing Address
Address *
City *   State *   Zip *  
Phone * - -   Ext.   999 999 9999 Ext. 99999
Fax - -   999 999 9999
E-Mail   xxx@xxx.xxx
Enter Site Information - Accurate information below will aid the L&I Inspector in conducting the inspection
Site Address   Check if job site address is the same as the mailing address above.
SiteAddress *
Site Zip Code * Zip *     City *     State
Site Phone * - -    Ext.    999 999 9999 Ext. 99999
County (L&I Office) *
Work Description *
Driving Directions(from nearest main crossroad) *