Cook County, IL · Cook County

No notary required

Construction / Maintenance Permit Application Fee Instructions

This form provides payment instructions and collects project and contact details for people paying a Cook County construction or maintenance permit application fee.

At a glance

Issued by
City of Cook County · Cook County, Cook County, Illinois
Notarization
Not required: file this form without a notary.
Official source
cookcountyil.gov
Blank form
Download the PDF
Catalogued
Machine-readable
JSON record · about the forms index

What this form is

Use this form when paying the application fee for a Cook County construction or maintenance permit by cash, certified check, or cashier’s check in person or by mail. It asks for the owner or company name, mailing address, contact details, county route names, highway section numbers, site location, and project reference number. The listed fee is $100, and government agencies are exempt from the application fee.

Who needs it

Applicants paying the permit application fee in person or by mail with cash, certified check, or cashier’s check must complete this form.

How to submit it

For in-person payment, hand the completed form to a Department of Revenue representative. For mail payment, send it with payment to Cook County Department of Revenue, 118 N. Clark Street, 11th Floor, Chicago, Illinois 60602.

About notarization

This document is completed without a notary; it provides a date field but no notary block or sworn attachment, so the signer just completes and dates it.

How to submit this form

  1. 1

    Download the Form

    Download the Construction / Maintenance Permit Application Fee Instructions PDF.

  2. 2

    Complete the Form

    Enter the owner or company, mailing address, contact details, route and highway section, site location, and project reference number.

  3. 3

    Prepare Payment

    For in-person or mail payment, prepare cash, a certified check, or a cashier’s check payable to Cook County Department of Revenue.

  4. 4

    Submit to the County

    Give the form to a Department of Revenue representative for in-person payment, or mail it with payment to the address listed on the form.

Frequently asked questions

Do I need a notary for the Construction / Maintenance Permit Application Fee Instructions?
No. This document has no notary block or sworn attachment; complete and date the form.
How do I submit the Construction / Maintenance Permit Application Fee Instructions?
For in-person payment, give the form to a Department of Revenue representative. For mail payment, send it with payment to the Department of Revenue at 118 N. Clark Street, 11th Floor, Chicago, Illinois 60602.
What is the permit application fee?
The form lists a $100 application fee and says the fee is not required for government agencies.
What payment methods require this form?
The form says to complete it for cash, certified check, or cashier’s check payments made in person or by mail. Online payment options are also listed.

Need something notarized?

This Construction / Maintenance Permit Application Fee Instructions doesn’t need a notary, but Illinois residents can notarize other documents online with a commissioned online notary.