1 Olde Half Day Road, Lincolnshire, IL 60069
www.lincolnshireil.gov
P: 847-883-8600
F: 847-883-8608
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STAMP HERE
ROOFING PERMIT APPLICATION
OFFICE USE ONLY
Permit #:
This application is to be used for residential
roofing projects only. The Building Permit Application
should be used for all non-residential roofing projects.
City:
State:
Zip Code:
Phone:
Cell:
Fax:
Tear Off Second Layer
H.O.A. approval attached
(if applicable)
Total Construction
Cost:
Company:
Name:
Address:
Suite:
City
State:
Zip Code:
Phone:
Fax:
Cell:
License/Registration #:
Email:
Name:
Phone:
Cell:
Address (if different from above):
Suite #:
City:
State:
Zip Code:
Roofing contractors are required by State law to affix their license number to all contracts and bids.
The roofer’s license number must also be affixed to all business vehicles.
The Community & Economic Development Department must be notified at least 24 hours in advance
of each inspection at 847-883-8600 between 8:30 a.m. and 4:30 p.m. Overweight permits must be
I, , certify that the information contained in this application,
attached plans, and specifications, and other attached documentation is true to the best of my
knowledge. I also recognize that as the permit applicant, all fees and requirements associated with the
review and future approval of the work described herein are my responsibility.
Signature: Date:
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signature
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