DATE: _________________
PROPERTY ADDRESS: _________________________________________________RIVER GROVE, IL 60171
PROPERTY OWNERS NAME: ___________________________________________________________________
PROPERTY OWNERS PHONE: ___________________________
PROPERTY OWNERS EMAIL: ___________________________________________________________________
CONTRACTOR NAME: _______________________________________________________________________
CONTRACTOR ADDRESS______________________________________________________________________
CONTRACTOR PHONE: __________________________________
AREA OF WORK HOUSE AND GARAGE HOUSE ONLY GARAGE ONLY
DUMPSTER REQUIRED? YES NO IF YES… Please fill out a DUMPSTER APPLICATION
GUTTERS AND DOWNSPOUTS ARE REQUIRED
ESTIMATED VALUE: $________________ TOTAL SQUARE FEET: _________________
DESCRIPTION OF WORK
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
PERMIT APPROVED BY: _____________________________________ DATE: __________________________
ROOFING PERMIT APPLICATION
VILLAGE OF RIVER GROVE
2621 THATCHER AVE, RIVER GROVE IL 60171
DAVID B. GUERIN, PRESIDENT
PHONE 708-453-8007 FAX 708-453-1337
PERMIT NUMBER ____________________
DATE ISSUED ____/_____/_____________
APPROVED FEE $____________________