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Utility Allowance Schedule U.S Department of Housing and OMB Approval No. 2577-0169 <br />See Public Reporting and Instructions on back. Urban Development exp. 7/31/2022 <br />Office of Public and Indian Housing <br />The following allowances are used to determine the total cost of tenant -furnished utilities and appliances. <br />Locality/PHA <br />COUNTY OF HAWAII -Energy Star <br />Unit Type <br />Apartment Building <br />Date (mm/dd/yyyyl <br />101/01/2022 <br />Utility or Service <br />Fuel Type <br />0 BR <br />1 BR <br />2 BR <br />3 BR <br />4 BR <br />5 Bit <br />Heating <br />Natural Gas <br />Bottled Gas <br />Electric <br />Electric — Heat Pump <br />Fuel Oil <br />Other <br />Cooking <br />Natural Gas <br />12 <br />14 <br />17 <br />20 <br />25 <br />28 <br />Bottled Gas <br />Electric <br />21 <br />23 <br />30 <br />38 <br />45 <br />52 <br />Other <br />Other Electric <br />44 <br />52 <br />72 <br />93 <br />116 <br />138 <br />Air Conditioning <br />Water Heating <br />Natural Gas <br />27 <br />32 <br />45 <br />56 <br />65 <br />71 <br />Bottled Gas <br />Electric <br />26 <br />32 <br />43 <br />52 <br />61 <br />71 <br />Fuel Oil <br />Water <br />22 <br />24 <br />34 <br />43 <br />50 <br />57 <br />Sewer <br />40 <br />40 <br />40 <br />40 <br />40 <br />40 <br />Trash Collection <br />Other — specify <br />Range/Microwave <br />25 <br />25 <br />25 <br />25 <br />125 <br />25 <br />Refrigerator <br />1 <br />125 <br />25 <br />25 <br />25 <br />125 <br />25 <br />Actual Family Allowances — May be used by the family to compute allowance while <br />searching for a unit. <br />Utility/Service/Appliance <br />Allowance <br />Heating <br />Head of Household Name <br />Cooking <br />Other Electric <br />Air Conditioning <br />Unit Address <br />Water Heating <br />Water <br />Sewer <br />Trash Collection <br />Other <br />Number of Bedrooms <br />Range/Microwave <br />Refrigerator <br />Total <br />Previous versions are obsolete. 1 Form HUD -52667 (7/2019) <br />