Laserfiche WebLink
_Z ~ BUILDING DIVISION ~ MAIL TO: l.T~ <br /> DEPARTMENT OF PUBLIC WORKS C ~ ~ <br /> COUNTY OF HAWAII <br /> APPLICATION FOR ELECTRICAL WORK ~ PICK UP <br /> 50~ ELEC.VKUATION: BUILDING PERMIT NO. <br /> P?REN~ US"/E/O~F~BUI~DO ~ ALTER ~ REPAIP OFSTORIES ~~O <br /> <br /> OWNER ' r W"Q BUILDER <br /> TENANT AppLICANT ' rye <br /> <br /> JOB ADDRESS -e GT, ~ BUSINESS ADDAESS~O'~X 9y9, Kern~A(~LL 9Q67r4~(} . <br /> O ~ Q ..C">Z l1LEN5E NO. l.. 04/CJ a ~ gpNE 7 6 ~ - 7 J ~Q <br /> <br /> - APPLIC 1A//TION IS HER~E'~B'~Y MA1 DE FOR PERMIT TO DO WORK AS FOLLOWS: - <br /> TYPE OF WIRING: ~ ~I~ t ~T W N ` <br /> VE q ~IMDERGROUND <br /> SERVICE INSTALLATION: CONDUCTOR SIZE: ? ~i]rf ? <br /> ELECTRICAL SWRCE: HELCO ALT. ENEAfiY BEfiV. AROP ALT. ENERGv <br /> SERVICE EQUIPMENT FEEDER INSTALLATION <br /> AMP. RATING rJ' . <br /> PHASE <br /> NO. TO BE INSTALLED <br /> PERMIT FEE <br /> BRANCH CIRCUITS INSTALLATION 1 6 2 DWELLING OCCUPANCIES ONL <br /> DESCRIPTION Fl R RANOE COIMlfER UNm OVEN ATER NEATER DRYER MOTOriS <br /> NO. TO BE INSTALLED <br /> PERMIT FEE 1 <br /> BRANCH CIRCUITS INSTALLATION ALL OTHER OCCUPANCIES <br /> "R°S~;u cED DESCRIPTION - _ FEE <br /> ~ ~ O U <br /> Iqn a ~IC0.'lla?I ~o a rwcsl.. $ <br /> SPECIALTY INSTALLATION <br /> DESCRIPTION RADIO TV PA FA SIDNS <br /> NO. TO BE INSTALLED <br /> PERMIT FEE <br /> NOTE: IF MORE SPACE IS NEEDED, ATTACH SEPARATE SHEET. <br /> Notice for electrical service shall be made by the applicant. No person FEE FROM ATTACHED SHEET $ <br /> shall use or supply electrical energy to any electrical installation <br /> without the Administrative Authority's approval. PERMIT FEE 5.00 <br /> All electrical materials and installation shall be of the approved type PENALTY FEE <br /> and in accordance with the National Electrical Code. ~ ~ <br /> 0 <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 permit shall become null and void should work authodzed be continuously suspended for a period <br /> of 90 days. Relund request must be received by the Director of Finance within 90 days from issuance <br /> tlale of this permit (as per Chapter 2. Hawaii County Code). <br /> I hereby acknowledge that the information given above is correct <br /> and agree tAO c/o/mp)J~/ ith all County and State Laws. E <br /> ~y~// p -7 d DIV I N <br /> X /L T /I ~ ! / P P <br /> SIGNATURE~F APPLIGwN V~~ UA / C 2L~ <br /> 1/l rJ./. _ ~O - S ,J of CJ <br /> FOR BU4DING Drv1510N CNIEF GATE <br /> <br />