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c H, 6 1 T 'z - <br />Utility Allowance Schedule U.S Department of Housing and OMB Approval No. 2577-0169 <br />See Public Reporting and Instructions on hack. Urban Development exp. '7/31/20122 <br />Office of Public and Indian Housing <br />Locafity/PHA <br />Unit <br />Type <br />Date (mrn/ddjy`MYy) <br />COUNTY T" OF <br />HAWAII <br />Apartment <br />Building <br />�02/01/2021 <br />Utility or Service <br />Fuel Type <br />0113111 <br />1 BB <br />2 BR, <br />3 BR <br />4 BFC <br />5 BR <br />Heating <br />Natural,, Gas <br />Battled Gas <br />Electric <br />Electric— Heat Pump <br />Fuel Oil <br />-- <br />Other <br />Cooking <br />Niatural Gas <br />15 <br />17 <br />21 <br />25 <br />30 <br />34 <br />Bottled Gas <br />......__ <br />....... _......._._............. <br />Electric <br />26 <br />28 <br />_... _...... <br />37 <br />4 �,55 <br />63 <br />Other <br />, <br />Other Electric <br />54 <br />63 <br />3$ <br />114 <br />1411 <br />168 <br />Air Conditioning <br />Water Heating <br />Natural Gas <br />33 <br />39 <br />55 <br />68 <br />79 <br />3 <br />Battled Cas <br />Electric <br />32 <br />39 <br />52 <br />64 <br />75 <br />87 <br />Fuel Oil <br />Water <br />22 <br />24 <br />34 <br />i43 <br />50, <br />5 <br />Sevver <br />40 <br />40 <br />40 <br />40 <br />40 <br />4 <br />Trash Collection <br />Other — specify <br />Range/Microwave <br />25 <br />25 <br />25 <br />25 <br />25 <br />2 <br />Refrigerator 2. a 25 12525 <br />2' <br />2 <br />Actual Family Allowances — C"w+l'ay be used by the family to compute allowance while <br />Util'ity/Service/Apphance <br />Allowvance_..._. <br />searching for a unit.. _..�........._ ........ ...� <br />Head of Household Name <br />Cooking <br />Other Electric <br />�..w.._. .......... <br />--------- <br />Air Conditioning, <br />- <br />Un,it Address <br />''Mater Heating <br />''Nater <br />Sewer <br />Trash Collection <br />Other <br />I Number of Bedrooms <br />Range/Micr i'w'ave <br />Refrigerator <br />............_......._......... ............... <br />.. <br />Total <br />Previous versions are o solete. 1 Foran HUD, -52667 (7/20119) <br />