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.
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
-
Area Code
Phone Number
Company
*
Trade License Number
Property Address Where Work Was Conducted
*
Street Address
City
State / Province
Postal / Zip Code
Permit Number
*
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
-
Month
-
Day
Year
Date of Repair
*
-
Month
-
Day
Year
Additional Comments
UPLOAD FILES
*
Browse Files
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.
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of
Submit
Should be Empty: