Form Revised 2020/10
Cook County Department of Transportation and Highways Permits Office P: 312.603.1670
George W. Dunne Cook County Office Building F: 312.603.9943
69 W. Washington, 24th Floor, Chicago, Illinois 60602 hwy.permits@cookcountyil.gov
CONSTRUCTION / MAINTENANCE PERMIT APPLICATION FEE INSTRUCTIONS
A non-refundable application fee is required to process a permit request (Not required for government agencies).
Permit: “App Fee”__ Allocation Code: 4416 Permit Application Fee: $ 100.00
Payment Options: 1
.
Credit Card Online (Preferred Method)
Click Here to make payment. Select "Highway Construction- Application Fee".
Include a copy of the receipt in the application submittal. Include the receipt no. on the top of the
Construction / Maintenance Permit Application Form. Because you have a receipt you do not need
to include this form in the application submittal.
2.
Credit Card Online Call (LexisNexis) at (888) 497-8701
The information required for the phone call is the CCDOTH provider ID no. (80972),
owner name, contact name, contact phone, contact
email, county highway(s), and
credit card information. You must give an email address to receive a receipt.
Include a copy of the receipt in the application submittal. Include the receipt no. on the top of the
Construction / Maintenance Permit Application Form. Because you have a receipt you do not need
to include this form in the application submittal.
3. Cash, Certified Check, or Cashier’s Check In Person
This form shall be filled out and handed to the Department of Revenue representative at time
of payment.
Include a copy of the receipt in the application submittal. Include the receipt no. on the top of the
Construction / Maintenance Permit Application Form. Because you have a receipt you do not need to
include this form in the application submittal.
4. Cash, Certified Check, or Cashier’s Check By Mail (Not Preferred Method).
This form shall be filled out and mailed to the Department of Revenue with the payment.
You will not get a receipt back from the Department of Revenue. Include a copy of the check and this
form in the application submittal.
Address: Cook County Department of Revenue
118 N. Clark Street, 11th Floor
Chicago, Illinois 60602
(312) 603-6870
Date ______________________________________________________
Name of Owner/Legal Name of Company _________________________
Present Mailing Address ______________________________________
Contact Name ______________________________________________
Contact Phone ______________________________________________
Contact Email _______________________________________________
County Route Name(s) _______________________________________
Hwy Section #(s) ____________________________________________
Cook County Jurisdiction Routes are Solid Red. Click Here for Map
Location of Site______________________________________________
Applicant’s Project No. or Ref. No._______________________________
