West Richland, WA · Benton County

No notary required

Manufactured / Mobile Home Placement Permit Application

Property owners or authorized agents use this application to request a permit to place a manufactured or mobile home in West Richland.

What this form is

This application requests a permit for manufactured or mobile home placement and asks for property, project, owner, agent, contractor, home, and accessory structure details. It also includes sewer service information, dust control measures, subcontractor details, and an access authorization and certification. The form is for applicants seeking this permit; it does not specify a processing fee.

Who needs it

A property owner or authorized agent applying for a manufactured or mobile home placement permit in West Richland needs this application.

How to submit it

Submit the application to the Community Development Department, 3100 Belmont Blvd., Suite 104, West Richland, WA 99353. The form also lists [email protected] and (509) 967-5902.

About notarization

This document is signed without a notary; the signer signs and dates the certification, which is made under penalty of perjury.

How to submit this form

  1. 1

    Download The Application

    Download the Manufactured / Mobile Home Placement Permit Application PDF.

  2. 2

    Complete The Application

    Fill in the property, project, owner, contractor, home, sewer service, dust control, and subcontractor sections that apply.

  3. 3

    Review And Sign

    Review the certification, then have the owner or authorized agent print their name, sign, and date.

  4. 4

    Submit To The City

    Submit it to the Community Development Department at the address listed on the form, or use the listed email address.

Frequently asked questions

Do I need a notary for the Manufactured / Mobile Home Placement Permit Application?
No. The application has no notary block; the signer signs and dates a certification made under penalty of perjury.
How do I submit the placement permit application?
The form lists the Community Development Department at 3100 Belmont Blvd., Suite 104, West Richland, WA 99353, and [email protected].
What information does the application ask for?
It requests property and project details, owner and contractor information, home specifications, sewer service, dust control measures, and subcontractor information.

Need something notarized?

This Manufactured / Mobile Home Placement Permit Application doesn’t need a notary — but if you have another West Richland form that does, a commissioned online notary can help.