Philadelphia, PA · Philadelphia County

No notary required

Plumbing Advisory Board Appeal Form

Property owners or their authorized representatives use this form to appeal a plumbing permit refusal, violation, or product approval decision.

What this form is

This form lets an appellant ask the Plumbing Advisory Board for a variance, alternative materials, or alternative construction methods. It asks for the appeal type, notice or application number, property and owner details, appellant information, and reasons for the appeal, including how public safety will be protected. A permit refusal or violation appeal requires a copy of the notice to be attached.

Who needs it

A property owner or someone authorized to act for the owner needs this form to appeal a plumbing permit refusal, violation, or product approval.

How to submit it

Submit it to the city department named on the form; check the city website for current contact details.

About notarization

This form is signed without a notary; attach the permit refusal or violation notice when applicable, and the appellant signs and dates the declaration.

How to submit this form

  1. 1

    Download The Form

    Download the Plumbing Advisory Board Appeal Form.

  2. 2

    Complete The Appeal

    Select the appeal type and provide the notice or application number, property details, appellant information, and reasons for the appeal.

  3. 3

    Gather Attachments

    Attach a copy of the permit refusal or violation notice for those appeal types. Include ownership-change documentation if ownership recently changed.

  4. 4

    Submit To The City

    Submit the completed form to the city department named on the form; check the city website for current contact details.

Frequently asked questions

What decisions can I appeal with this form?
The form lists permit refusal, violation, and product approval as appeal types. It requests reasons for the appeal and information about the property and appellant.
What must I attach to the appeal?
For a permit refusal or violation appeal, attach a copy of the permit refusal or violation notice. The form also says ownership-change documentation is required if there was a recent change of ownership.
Do I need a notary for the Plumbing Advisory Board Appeal Form?
No. The form has a declaration for the appellant to sign and date, but no notary block. Attach a refusal or violation notice when applicable.
How do I submit the Plumbing Advisory Board Appeal Form?
The form does not provide submission instructions. Submit it to the city department named on the form; check the city website for current contact details.

Need something notarized?

This Plumbing Advisory Board Appeal Form doesn’t need a notary — but if you have another Philadelphia form that does, a commissioned online notary can help.