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<br />Valuation $ <br />County of Hawai‘i <br />Department of Public Works <br />Fee $ <br />BUILDING DIVISION <br />SIGN PERMIT APPLICATION <br />Tel. <br />Legal Owner Address No. <br />Tel. <br />Sign Owner Address No. <br />Tel. <br />Designer Address No. <br />Tel. <br />Sign Installer Address No. <br />Sign Location Zone <br /> (Street) (District) <br />TYPE OF SIGN MATERIAL AREA ILLUMINATED HT. CLEARANCE <br />1. Marquee <br />2. Projecting <br /> <br />3. Ground <br />4. Wall <br />5. Roof <br />6. Window <br />7. Directory <br /> <br />Remarks: <br /> <br /> <br /> <br />THE SIGN SHALL COMPLY WITH THE HAWAI‘I COUNTY CODE AND STATE LAWS REGULATING SIGNS. SEPARATE <br />ELECTRICAL PERMIT REQUIRED FOR ELECTRICAL WORK RELATING TO THIS PERMIT. <br /> <br /> APPLICANT Date <br /> <br />APPROVED: <br /> <br />ENGINEERING DIVISION DATE FLOOD ZONE <br /> <br />APPLICATION #: S <br />PLANNING DEPT. DATE <br /> <br /> <br />PERMIT NO. <br />REVIEWED BY: <br />3 rd DIVISION <br /> <br />Z S PL PAR LOT <br /> <br />ELECTRICAL DATE <br /> <br /> <br />BUILDING DIVISION DATE <br />County of Hawai‘i is an Equal Opportunity Provider and Employer <br />1/12 <br />