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WHEN COMPLETED, MAIL TO: CITY OF PHILADELPHIA DEPARTMENT OF LICENSES AND INSPECTIONS DEPARTMENT OF L 2026
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- Click ‘Get Form’ to open it in the editor.
- Begin by filling in the 'NAME OF OWNER' and 'BUSINESS NAME' fields. Ensure that all names are spelled correctly for accurate processing.
- Enter the 'BUSINESS ADDRESS', including city, state, and zip code. This is crucial for correspondence regarding your application.
- Provide your daytime, evening, and fax numbers in the designated fields to ensure you can be reached easily.
- If your billing address differs from your business address, complete that section as well. Include an email address for digital communication.
- Fill in the Philadelphia Business Income and Receipts Tax Number and Commercial Activity License Number as required.
- Attach proof of insurance documentation as specified in the form. This includes worker's compensation and liability insurance details.
- Complete the applicant certification section by signing and dating where indicated. This confirms your compliance with all regulations.
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