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1 of <br /> ENVIRONMENTAL HEALTH DIVISION <br /> ACCOUNTING WORKS <br /> //H <br /> /�EET <br /> UNIT # v f 0QV l <br /> COMPUTER/PERMIT # 065 -- f <br /> SITUS/FACILITY ADDRESS: <br /> DBA- <br /> BILL <br /> BABILL TO: PHONE: <br /> BILLING ADDRESS: <br /> CPI'Y/STATE: ZIP: <br /> PROGRAM: / TYPE OF SERVICE: lcim Gn6t / <br /> THE MINIMUM TIME FOR EACH INSPECTION IS ONE (1) HOUR, ANY ADDITIONAL INSPECIION TIME IS COMPUTED TO THE <br /> (1/2) HO INCLUDING TRAVEL <br /> WEEKDAY WEEKNIGHT HOLIDAYS DESCRIPTION OF WORK REHS NAME <br /> 8AM- 4:30PM-8AM/ <br /> 4:30PM WEEKENDS <br /> cry i'go 2'•30 evlew ( lam U737VA07 <br /> l <br /> 22y�� 9100-9'• 'Ph arrorfe , O&Vuue.reWbth C <br /> TOTALS <br /> BALANCE DUE: <br /> BILLING DATE <br /> EH 23 074 (Rev 3/22/91) <br />