"Application for Hot Work Permit" - Hawaii

Application for Hot Work Permit is a legal document that was released by the Hawaii Department of Land & Natural Resources - a government authority operating within Hawaii.

Form Details:

  • Released on June 1, 2011;
  • The latest edition currently provided by the Hawaii Department of Land & Natural Resources;
  • Ready to use and print;
  • Easy to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of the form by clicking the link below or browse more documents and templates provided by the Hawaii Department of Land & Natural Resources.

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Download "Application for Hot Work Permit" - Hawaii

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APPLICATION FOR
HOT WORK PERMIT
Division of Boating and Ocean Recreation
Department of Land and Natural Resources, State of Hawaii
1. PERMIT INFORMATION
OFFICE USE ONLY
Start Date:
Start Time:
End Time:
/
/
:
:
Date Received:
Island(
) :
q
Hawaii
q
Kauai
q
Lanai
q
Maui
q
Molokai
q
Oahu
one
4
Received By:
Location:
A welding or burning operation shall be performed by (name):
q
Check to acknowledge the person performing work is responsible for abiding by all existing regulations concerning
hot work.
Description of Hot Work:
2. APPLICANT INFORMATION
Name (Last):
(First):
(M.I.):
Suffix:
q
q
Date of Birth:
Gender:
Female
Male
/
/
Phone (business):
(home):
Email:
Mailing Address:
Apt #:
Address Line 2:
Country:
City:
State:
Zip:
3. VESSEL INFORMATION
Vessel Name:
Port of Registry:
q
Registration
q
Coast Guard Documentation
q
None
Documentation Type:
Registration or Doc.#:
Expiration Date:
/
/
Hull Manufacturer:
Hull ID#:
Year Built:
Number of Hulls:
Hull Color:
Cabin Color:
Top Deck Color:
Trim Color:
4. AGREEMENT & SIGNATURE
I agree to comply with the provisions of the Hawaii
Administrative Rules as promulgated by the Division of
/
/
Boating and Ocean Recreation applicable to this permit.
Signature of Applicant
Date
Hot Work Permit, Revised: 06/2011
Page 1 of 1
APPLICATION FOR
HOT WORK PERMIT
Division of Boating and Ocean Recreation
Department of Land and Natural Resources, State of Hawaii
1. PERMIT INFORMATION
OFFICE USE ONLY
Start Date:
Start Time:
End Time:
/
/
:
:
Date Received:
Island(
) :
q
Hawaii
q
Kauai
q
Lanai
q
Maui
q
Molokai
q
Oahu
one
4
Received By:
Location:
A welding or burning operation shall be performed by (name):
q
Check to acknowledge the person performing work is responsible for abiding by all existing regulations concerning
hot work.
Description of Hot Work:
2. APPLICANT INFORMATION
Name (Last):
(First):
(M.I.):
Suffix:
q
q
Date of Birth:
Gender:
Female
Male
/
/
Phone (business):
(home):
Email:
Mailing Address:
Apt #:
Address Line 2:
Country:
City:
State:
Zip:
3. VESSEL INFORMATION
Vessel Name:
Port of Registry:
q
Registration
q
Coast Guard Documentation
q
None
Documentation Type:
Registration or Doc.#:
Expiration Date:
/
/
Hull Manufacturer:
Hull ID#:
Year Built:
Number of Hulls:
Hull Color:
Cabin Color:
Top Deck Color:
Trim Color:
4. AGREEMENT & SIGNATURE
I agree to comply with the provisions of the Hawaii
Administrative Rules as promulgated by the Division of
/
/
Boating and Ocean Recreation applicable to this permit.
Signature of Applicant
Date
Hot Work Permit, Revised: 06/2011
Page 1 of 1