Usually means: Interval of five semitones distance.
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We found 5 dictionaries that define the word perfect fourth:

General (3 matching dictionaries)
  1. perfect fourth: Wiktionary
  2. Perfect fourth: Wikipedia, the Free Encyclopedia
  3. Perfect fourth: TheFreeDictionary.com

Computing (1 matching dictionary)
  1. Perfect fourth: Encyclopedia

Medicine (1 matching dictionary)
  1. Perfect fourth: Medical dictionary

Definitions from Wiktionary (perfect fourth)

noun:  A musical interval spanning four degrees of the diatonic scale. In the Western twelve-semitone system, it consists of five standard semitones.

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