Form Center

By signing in or creating an account, some fields will auto-populate with your information.

Cost Breakdown and Contractor List

  1. COST BREAKDOWN AND CONTRACTOR LIST
  2. Statement
    IN ADDITION TO THIS FORM, ALL CONTRACTORS WILL HAVE TO SUBMIT A PROPOSAL SIGNED BY THE HOMEOWNER. ALL PLUMBERS ARE REQUIRED TO SUBMIT A LETTER OF INTENT AS REQUIRED BY THE STATE OF ILLINOIS 225 ILCS 320/
  3. List the property address of the proposed construction located within the City of Waukegan limits
  4. Required

  5. Amount
  6. Address, City, State, Zip

  7. Required if roofing work is included in your project.

  8. Address, City, State, Zip

  9. Required if excavating/sewer work is included in your project

  10. Address, City, State, Zip

  11. Required if plumbing is included in your project

  12. Address, City, State, Zip

  13. Per 225 ILCS 320/37 (Ch.111, par. 1135)

    A letter intent shall be included with all plumbing permit applications. The letter shall be written on the license plumber of record's business stationery and shall include the license holder's signature and, if the license holder is incorporated, the license holder's corporate seal. If the license holder is not incorporated, the letter must be notarized

  14. Required if electrical work is included in your project

  15. Address, City, State, Zip

  16. Required if HVAC work is included in your project

  17. Leave This Blank:

  18. This field is not part of the form submission.