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ENVIRONMENTAL HEALTH DIVISION <br /> ACCOUNTING WORKSHEET <br /> UNIT # <br /> COMPUTER/PERMIT # 5 C�� W/ ti v/7t� <br /> SITUS/FACIL rrY ADDRESS: . l I W. <br /> DBA: Z I(a d <br /> BILL TO: PHONE: <br /> BILLING ADDRESS: <br /> CITY/STATE: II ZIP; <br /> PROGRAM: TYPE OF SERVICE: <br /> THE MINIMUNI TIME FOR EACH INSPECTION IS ONE (1) HOUR, ANY ADDITIONAL INSPECTION TELAE IS COMPUTED TO THE <br /> NE <br /> (1/2) HOUR, INCLUDING TRAVEL TIME. <br /> hr -z9-9� <br /> WEEKDAY WEEKNIGHT HOLIDAYS DESCRIPTION OF WORK RENS NAME <br /> 8AM- 4.30PM-SAW <br /> 430PM WEEKENDS <br />�1 <br /> 100 KeVLUJ dx\a ,semunif <br /> w co2�l� <br /> IZ-13013 I:W I"'o phane_c'aw • 2eecivt <br /> carNo�h*. _5„64.3 <br /> �7 10:00- 1("3 l .f6� nfan ofkPl A iW <br /> TOTALS <br /> BALANCE DUE: <br /> BILLING DATE. <br /> EH 23 074 (Rev 3/22/91) <br />