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Get PA 81-905 2006

Itional information call (215) 686-2490. 1. NAME OF LICENSEE (BUSINESS) DAYTIME TELEPHONE NUMBER AND INSPECTIONS PUBLIC SERVICE CONCOURSE 1401 JOHN F. KENNEDY BOULEVARD PHILADELPHIA, PA 19102 USE A CHECK OR MONEY ORDER PAYABLE TO “CITY OF PHILADELPHIA”. 2. PERSON RESPONSIBLE (IF NOT LICENSEE) EVENING TELEPHONE NUMBER 3. LOCATION OF LICENSED ACTIVITY (INCLUDE ZIP CODE) E-MAIL ADDRESS 4. BUSINESS BILLING ADDRESS IF DIFFERENT FROM LOCATION (INCLUDE ZIP CODE) 5. TYPE OF BUSINESS 6. PH.

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