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Form 81 611A – Fill Out and Use

Form 81 611A is an application for a Certificate of Disability Exemption.

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Did you recently start a business? If so, you may be wondering how to file your taxes. There are a few different ways to file your taxes, and one of the most common methods is Form 81 611A. This form is used to calculate your business income and expenses. In this blog post, we will discuss the basics of Form 81 611A and how to use it to file your taxes. We will also provide a few tips for completing the form correctly. If you have any questions, please don't hesitate to contact us.

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Question	Answer
Form Name	Form 81 611A
Form Length	1 pages
Fillable?	Yes
Fillable fields	34
Avg. time to fill out	7 min 7 sec
Other names	certify, complied, herein, DISPENSING

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APPLICATION FOR					CITY OF PHILADELPHIA
ELECTRICAL PERMIT					CITY OF PHILADELPHIA
ELECTRICAL PERMIT				DEPARTMENT OF LICENSES AND INSPECTIONS
				MUNICIPAL SERVICES BUILDING – CONCOURSE
APPLICATION # ____________________________________________					1401 JOHN F. KENNEDY BOULEVARD
APPLICATION # ____________________________________________					PHILADELPHIA, PA 19102
					PHILADELPHIA, PA 19102
(Please complete all information below and print clearly)					For more information visit us at www.phila.gov
(Please complete all information below and print clearly)
ADDRESS OF PROPOSED CONSTRUCTION:

LOCATION WITHIN BUILDING (FLOOR, SPACE NUMBER, ETC.) :

OWNER:			OWNER PHONE#		E-MAIL:

ELECTRICAL CONTRACTOR:			CONTRACTOR’S ADDRESS:
_________________________________________________________			_____________________________________________________________
COMPANY NAME:			______________________________________________________________
_________________________________________________________
_________________________________________________________
PHONE #	FAX #		LICENSE #	E-MAIL:
ARCHITECT/ENGINEER IN RESPONSIBLE CHARGE:			ARCHITECT/ENGINEERING FIRM ADDRESS:
___________________________________________________________			______________________________________________________________
ARCHITECT/ENGINEERING FIRM:
ARCHITECT/ENGINEERING FIRM:
___________________________________________________________			______________________________________________________________
___________________________________________________________
PHONE #	FAX #		LICENSE #	E-MAIL:
PHONE #	FAX #
LICENSED INSPECTION AGENCY:

NEW CONSTRUCTION		AREA OF WORK SPACE	ESTIMATED COST			# OF FLOORS IN BUILDING
ADDITION		SQ.FT.	$
ALTERATION/REHABILITATION		SQ.FT.
ALTERATION/REHABILITATION
USE OF BUILDING/SPACE				EQUIPMENT		CAPACITY
ONE- OR TWO-FAMILY DWELLING		FUEL DISPENSING FACILITY		< 600 VOLTS		< 400 AMPS OR 100 KW
				< 600 VOLTS		< 400 AMPS OR 100 KW
HEALTH CARE FACILITY		HAZARDOUS LOCATION (ARTICLES 500-503)
OTHER (DESCRIBE BELOW):				> 600 VOLTS		> 400 AMPS OR 100 KW

TYPE OF WORK (SELECT ALL THAT APPLY)

COMMUNICATIONS SYSTEMS (DESCRIBE BELOW)

FIRE ALARM

REPLACE OR RELOCATE DEVICES ON EXISTING APPROVED FIRE ALARM SYSTEM (EXCLUDING MAIN PANEL)

NEW INSTALLATION ALTERATION TO EXISTING SYSTEM (DESCRIBE BELOW)

ELECTRICAL

ELECTRICAL SERVICEREPLACEMENT OF EQUIPMENT IN KIND WITH NO ADDITIONAL WIRING TEMPORARY USE OF PORTABLE WIRING (FOR CARNIVAL OR EVENT)

TEMPORARY ELECTRIC WORK FOR CONSTRUCTION SITE

OTHER WORK NOT LISTED ABOVE (DESCRIBE BELOW)

BRIEF DESCRIPTION OF WORK:

____________________________________________________________________________________________________

IS THIS APPLICATION IN RESPONSE TO A VIOLATION? NO

YES

VIOLATION #:

All provisions of the Philadelphia Building Construction and Occupancy Code and other City ordinances will be complied with, whether specified herein or not. Plans approved by the Department form a part of this application. I hereby certify that the statements contained herein are true and correct to the best of my knowledge and belief. I further certify that I am authorized by the owner to make the foregoing application, and that, before I accept my permit for which this application is made, the owner shall be made aware of all conditions of the permit. I understand that if I knowingly make any false statement herein I am subject to such penalties as may be prescribed by law or ordinance.

APPLICANT’S SIGNATURE:		DATE: _______/_______/_______

81-611A

How to Edit Form 81 611A

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Step 1: First, choose the orange button "Get Form Now".

Step 2: Once you've got accessed the editing page gov, you should be able to notice all of the options readily available for your form inside the top menu.

Create all of the following sections to complete the form:

Put the expected information in the ELECTRICAL CONTRACTOR:, AREA OF WORK SPACE SQ, ESTIMATED COST $, # OF FLOORS IN BUILDING, (cid:133) NEW CONSTRUCTION, (cid:133) ONE- OR TWO-FAMILY, EQUIPMENT, (cid:133) < 600 VOLTS (cid:133) >, CAPACITY, (cid:133) < 400 AMPS OR 100 KW, TYPE OF WORK (SELECT ALL THAT, and (cid:133) COMMUNICATIONS SYSTEMS segment.

81-611A ELECTRICAL CONTRACTOR:, AREA OF WORK SPACE SQ, ESTIMATED COST $, # OF FLOORS IN BUILDING, (cid:133) NEW CONSTRUCTION, (cid:133) ONE- OR TWO-FAMILY, EQUIPMENT, (cid:133) < 600 VOLTS (cid:133) >, CAPACITY, (cid:133) < 400 AMPS OR 100 KW, TYPE OF WORK (SELECT ALL THAT, and (cid:133) COMMUNICATIONS SYSTEMS blanks to fill out

Within the area discussing (cid:133) OTHER WORK NOT LISTED, IS THIS APPLICATION IN RESPONSE TO, and 81-611A, it's essential to note some required particulars.

Step 3: Press the "Done" button. Then, you can transfer your PDF file - download it to your electronic device or forward it by using electronic mail.

Step 4: To avoid all of the problems in the future, try to have as a minimum two or three duplicates of your file.

Form 81 611A – Fill Out and Use

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