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Get Hawaii Contractors Statement 2011-2024

Back side of this form and place a check mark on all numbers indicating the phases of electrical and/or plumbing work to be included. For all checked boxes/phases, provide identity of contractor, as follows: Phase Contractor No.(s) License No. This column must be signed by contractor or his/her RME before work can be started on electrical or plumbing phase(s) covered. Contractor’s Name Signature of Contractor or RME Address Telephone Contractor’s Name Sign.

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