Laserfiche WebLink
y <br /> ENVIRONMENTAL HEALTH DIVISION <br /> ACCOUNTING WORKSHEET�� ,n <br /> UNIT# - 7(l <br /> C <br /> COMPUTER/PERMIT# 5.dNISO 9Z <br /> SITUS/FACILITY ADDRESS: !Z/O <br /> DBA: f;diVg—W ���✓paLF�- <br /> BILL TO: lbNT1AIZA/7�1/ PHONE��T/()37I --"7-1 7 <br /> BILLING ADDRESS: PO• r3oX 2�i� <br /> CITY/STATE: 4- ` i0 GiQ ZIP: 96;6R4 <br /> wggyg arc <br /> PROGRAM: T 3• TYPE OF SERVICE: Pir0� <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 8AM- 4:30PM-SAW <br /> SERVICE 4:30PM WEEKENDS <br /> 7 /z q rip,-z.sp� N) w�zrsreaarFo —r. v. tcL <br /> Pr�rNE G/.a5 <br /> TOTALS <br /> BA1J1NCE DUE: <br /> BILLING DATE: <br /> EH 23 074 (Rev 3/91) <br /> i <br />