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❑ MAIL BUILDING DIVISION w"L MAIL THIS <br /> PERMIT TO CONTRACTOR'S MAII.ING <br /> ADDRESSONLY) <br /> DEPARTMENT OF PUBLIC WORKS <br /> COUNTY OF HAWAPI 0 CONTRACTOR PICK-UP <br /> BUILDING DIVISION <br /> IF NONE SELECTED,PERMIT WILL <br /> ELECTRICAL PERMIT APPLICATION BE MAILED TO CONTRACTOR <br /> 2 800.00 .BUILDING PERMIT# <br /> VALUATION: $ Electric Only <br /> Legal Owner Electrical Contractor Li� <br /> Central Pacific Bank Wasa Electrical Services, Inc. <br /> Lessee/Tenant Contractor's Mailing Address P <br /> 73-4118 Hulikoa Dr. -Kailua Kona, HI 96740 <br /> PROJECT LOCATION: Con <br /> 75-1010 Henry Street-Kailua Kona, Hawaii <br /> Engineering Date Flood ZoneElCheck bos if Contractor's Check box if Contractor's <br /> Mallin Address clan ed Phone No.changed <br /> TYPE OF WORK HELCO <br /> ❑RESIDENTIAL ❑NEW El ADDITION I ❑■ ELECTRIC ONLY ALTERNATIVE ENERGY <br /> ANON-RESIDENTIAL ❑■SIGN *ALTERATION ❑REPAIR El PHOTOVOLTAIC <br /> ❑ OVERHEAD <br /> ❑SOLAR HOT WATER ❑AS-BUILT ❑■NO WORK STARTED ❑ GENERATOR ❑ UNDERGROUND <br /> ❑SUPPLEMENT TO E ❑ HYDROELECTRIC <br /> ❑ METERPOLE <br /> DESCRIPTION OF WORK ❑ WINDMILL <br /> Install new time clock for the sign lights and reconnect new signs. ❑ OTHER: ❑ PEDESTAL <br /> SERVICE EQUIPMENT FEEDER INSTALLATION <br /> AMP.RATING FEES <br /> PHASE <br /> NO.TO BE INSTALLED <br /> SERVICE/FEEDER $ 0 .00 <br /> PERMIT FEE(S) <br /> BRANCH CIRCUITS INSTALLATION(I&2 DWELLING OCCUPANCIES ONLY) BRANCH CIRCUITS <br /> FIRST FIVE ADDITIONAL COOKING WATER OTHER TYPES (I&2 DWELLING) $ 0 .00 <br /> DESCRIPTION 120 V 120 V APPLIANCES HEATER DRYER MOTORS OF CIRCUITS <br /> CIRCUITS CIRCUITS <br /> NO.TO BE BRANCH CIRCUITS <br /> INSTALLED <br /> (ALL OTHER OCC.) $ 36 .00 <br /> PERMIT FEE(S) <br /> SPECIALTY&BRANCH CIRCUITS INSTALLATION(ALL OTHER OCCUPANCIES) FEE FROM <br /> NO.TO BE DESCRIPTION FEE ATTACHED $ .00 <br /> INSTALLED <br /> 4 For reconnecting a removed sign at the previous location @$6.00 each 24.00 WAIVER $ .00 <br /> 1 For any other type of circuits and outlets @$12.00 each 12.00 <br /> PENALTY $ .00 <br /> PERMIT $ 5.00 <br /> TOTAL FEE $ 41 .00 <br /> CHECK NO. <br /> Note:If more space is needed,attach a separate sheet. <br /> For Electrical Service—Refer to the latest amended version of Chapter 9 of the Hawaii County Code. <br /> All materials and installation shall comply with the latest amended version of Chapter 9 of the Hawaii County Code and Chapter 14 of the Hawaii County Outdoor Lighting Code. <br /> All work must be performed by individuals who are in compliance with Section 9-17 of the Hawaii County Electrical Code. <br /> This permit shall become null and void should any work authorized be continuously suspended for a period of 120 days. <br /> All refund requests must be received by the Director of Finance within 90 days from issuance date of this permit,as per Chapter 2 of the Hawaii County Code. <br /> I HEREBY ACKNOWLEDGE THAT THE INFORMATION GIVEN ON THIS FORM IS CORRECT <br /> A PLY TH ALL TY AND STATE LAWS. Application#:A <br /> June 30,2021 <br /> PERMITEE'S SIGNATURE** DATE Permit#• E <br /> ISLAND ZONE SECTION PLOT PARCEL LOT <br /> APPROVED BY SIGNATURE DATE TMK# 3 7 5 004 060 0000 <br /> **Signature Required <br /> Vet 4.0 01/18/2012 Hawaii County is an Equal Opportunity Provider and Employer <br />