Notice of Completed Repairs
This form is exclusively intended for use by individuals who have received an email from LIAdminDistrict@phila.gov, specifically requesting a submission.
Trade License Number
Property Address Where Work Was Conducted
State / Province
Postal / Zip Code
Your permit number MUST be entered exactly as it appears on your permit! e.g. RP-2020-012345. Do not enter it as rp2020012345
Date of Permit Issue
Date of Repair
Submission of photos depicting all work carried out within the scope of your permit, along with a site photo (Photo capturing the front of the property from the street perspective.) for the purpose of site verification, is mandatory.
Should be Empty: