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2. Date
   Date
3. Project Address*
4. Type of Structure*
   -- Select One --Single FamilyTwo FamilyMulti Family (3+)CommercialGarage / Shed
6. Parcel ID #*

   Property Lookup

   ex: 14-2-15-00-00-000-000

7. Subdivision & Lot #*

   Property Lookup

8. Rental Property*

   1. Yes
   2. No
   3. Future Rental
9. Estimated Cost of Work*

   Contractor Estimate of Roof Construction

11. Owner First and Last Name*
12. Owner Phone Number*
13. Owner Email Address
15. Owner Mailing Address *
17. Roofing Contractor *
18. Roofing Contractor Phone Number*
19. Roofing Contractor Email Address*

    Method to inform you of permit status

21. Roofing Contractor Mailing Address*
23. Upload Illinois Roofers License and Photo ID*

    Please upload a copy of your Illinois roofing contractor’s license and government issued photo ID (i.e. driver’s license, state id, etc). Illinois law requires all roofing work to be performed by state licensed roofing contractors. An exception is if a property owner is performing roofing on their own personal property.

24. Permit Review and Processing

    PERMITS ARE PROCESSED IN THE ORDER IN WHICH THEY ARE RECEIVED. The application must be filled out completely and all required documentation submitted. The review process begins once all the required information has been submitted. YOU WILL BE NOTIFIED WHEN YOUR PERMIT HAS BEEN PROCESSED AND THE PERMIT CARD IS READY FOR PICK-UP.  PAYMENT CAN BE MADE WHEN YOU PICK UP THE PERMIT CARD. 

    **ROOF PERMITS ARE $25 EACH**

26. Acknowledgment*

    1. I agree

    I hereby affirm the above statements are true and correct and comply with the provisions of the ordinances of the City of Edwardsville and adopted codes. I understand that I may need additional approval for the proposed improvements from the homeowner's association or Historic Preservation Commission if applicable. I hereby certify that the proposed work is authorized by the owner of record and approval has been given by the owner for submission of such application. 

    **PERMIT CARD MUST BE POSTED ONSITE**

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30. 1. Receive an email copy of this form.
31. Email address

    This field is not part of the form submission.

32. Submit

* indicates a required field