Department of Water Supply
"By Water All Things Find Life"
Cost List with Affidavit

This form must be submitted by developers/owners when water system improvements are to be dedicated to the County of Maui. After the water system improvements have been constructed and have passed final inspection, the developer/owner shall submit a Cost List with the notarized Affidavit to the Engineering Division for review.

The form is available in PDF fillable format or PDF non-fillable format.

** For a copy of this document in Adobe Acrobat PDF non-fillable (print only) format, download/view here.

** For a copy of this document in Adobe Acrobat PDF fillable format, download/view here.

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