Laserfiche WebLink
ENVIRONMENTAL HEALTH DIVISION <br /> ACCOUNTING WORKSHEET <br /> UNIT # � <br /> CObIPUTER/PERMIT # �03 <br /> SITUS/FACILITY ADDRESS:, ' 16Z0 <br /> DBA: <br /> BILL TO: _ C/ //A PHONE: <br /> BILLING ADDRESS: <br /> CITY/STATE: ZIP: �z <br /> PROGRAM: �i �� TYPE OF SERVICE: �tV K- <br /> THE MINIMUM TIME FOR EACH INSPECTION IS ONE (1) HOUR, ANY ADDITIONAL INSPECTION TIME IS COMPUTED TO THE <br /> NEAREST HALF (1/2) HOUR, INCLUDING TRAVEL TIME. <br /> DATE WEEKDAY WEEKNIGHT HOLIDAYS DESCRIPTION OF WORK REHS NAME <br /> of SAKI- 4:30PM-SAM/ <br /> SERVICE 4:30PD4 WEEKENDS <br /> 26V064-v <br /> Gl 11:00-12:00 <br /> 9 <br /> 3 /g q 3:�f�-3;5 ' .Q Nom€ - ,J✓'- <br /> TOTALS <br /> RALkNCE DUE: <br /> MILLING DATE: <br /> EH 23 074 (Rev 3/22/91) <br />