Laserfiche WebLink
BUILDING DIVISION ~ MAILTO: <br /> ~p DEPARTMENT OF PUBLIC WORKS <br /> ' COUNTY OF HAWAII <br /> APPLICATION FOR ELECTRICAL WORK ~ PICKUP <br /> \5O~ ON ELEC. VALUATION: BUILDING PERMIT NO. <br /> PRESENr USE OF BU~IL-D/IJJG: ~ FLOOR AREA ~.Oi~ <br /> NEW IM ADD ~ ALTER ~ REPAIR NG OF STORIES <br /> <br /> OWNER ~ r W,LQ BUILDER <br /> TENANT APPLICANT ].a~ ` ry <br /> JOB ADDRESS -e GT~ ~ BUSINESS ADORESS~O~~X 9y~ Ke,94,g41.L 96749D <br /> Q CQ _C'TZ LICENSE NO. C p'VA./~7 P/IONE • 8~- ~~~U <br /> - APPLIC `A'TION IS HEREBY MADE FOR PERMIT TO DO WORK AS FOLLOWS: - <br /> TYPE OF WIRING: ~ r~ <br /> VEFME~D~ ~ UNDERGROUND <br /> SERVICE INSTALLATION: CONDUCTOR SIZE: ,Q(/$~//VQ <br /> ELECTRICAL SOURCE: ~ HELCO ALT. ENERGY 6/mr 9ERV. utfJpR(W ~ ALT. ENERGY <br /> SERVICE EQUIPMENT FEEDER INSTALLATION <br /> AMP. RATING ~ <br /> PHASE <br /> NO. TO BE INSTALLED <br /> PERMIT FEE <br /> BRANCH CIRCUITS INSTALLATION 1 & 2 DWELLING OCCUPANCIES ONL <br /> DESCRIPTION Fl FlVE ADDITIONAL gµGE COUNTER UNR OVEN ATER HEATER DRYER MOTORS <br /> NO. TO BE INSTALLED lN3HHnnNNOO <br /> PERMIT FEE ~ <br /> BRANCH CIRCUITS INSTALLATION ALL OTHER OCCUPANCIES <br /> INSTALLED DESCRIPTION - ~ FEE <br /> . ,`il y~; , <br /> T ~ Ov <br /> J i.,. <br /> tqn a Ifca~ha?~ no rwcaL. ' ~ <br /> SPECIALTY INSTALLATION <br /> DESCRIPTION RADIO TV PA FA SIGNS <br /> NO. TO BE INSTALLED <br /> PERMIT FEE <br /> NOTE: IF MORE SPACE IS NEEDED, ATTACH SEPARATE SHEET. <br /> FEE FROM ATTACHED SHEET $ <br /> Notice for electrical service shall ba made by the applicant. No person <br /> shall use or supply electrical energy to any electrical installation PERMIT FEE 5•~~ <br /> without the Administrative Authority's approval. <br /> All. electrical ma[edals and installation shall be of the approved type PENALTY FEE `P <br /> and in accordance with the National Electrical Code. <br /> APPLICANT SHALL BE QUALIFIED TO DO THE WORK AND POSSESS A VALID LICENSE PURSUANT TOTAL FEE <br /> TO THE PROVISIONS OF CHAPTER 444 OR 448E OF THE HAWAII REVISED STATUTES. <br /> This pennil shall become null and void should work authorized be continuously suspended for a period <br /> of 90 days. Refund request must be received by the Director of Finance within 90 days from issuance <br /> date of this permit (as per Chapter 2, Hawaii County Code). <br /> I hereby acknowledge that the information given above is correct <br /> and agree to comp) yvith all County and State Laws. E <br /> x / 7~ Z rd V N <br /> / I l1 n. n , (o T P L <br /> SIGNATURE~IF APPLI N ~ ~ ^i ~ DA p ~ / ~ a 3 n ~L 2 <br /> L~~(/I I r ~ ~O - <br /> x <br /> DnTE <br /> FOR OUR UING DIVISION CHIEF <br /> <br />