Type Full Name :
Sign With Hand
State
Address
City
List Existing Buildings
Certification
Permit Fee
I hereby certify that all information supplied in this application is correct, and complete to the best of my knowledge, and I agree to save, indemnify and keep harmless the County of Churchill and its officers, employees and agents against all liabilities, judgements, costs and expenses which accrue against the County in consequence of the granting of this authorization.
Property Details
Same as Owner?
Applicant Details
Phone #
State
Lookup By Contractor Name
Do you have the Owner's Permission?
(Length x Width, ft/in)
Email
Owner Details
Contractor Details
Phone #
Make
License #
Name
The fee due for this application:
Do you have Legal Access?
Zip
City
I have received and read the handout titled "Dust Control in Churchill County"
Name
State
Phone #
Manufactured Home Permits
{[CNAME]}
155 N. Taylor Street Suite 170
{[CITY]}, {[STATE]} {[ZIP]}
775-428-0264
churchillcountynv.gov/building
Size
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Year
Address
Begin typing the address and select it from the drop-down
Name
Model
Serial #
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Email
Address
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Required Documents
What is the Work Type?

Attach the Required Documents below: MISSING INFORMATION WILL DELAY PERMIT PROCESSING TIME

  • Plot Plan
  • Foundation Plan (If Applicable).
  • Written Permission from Owner (If Applicable).
  • If the parcel that the manufactured home is being placed on is in a flood zone, Elevation Certificate is needed from a surveyor or engineer verifying what elevation the lot is at.