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5 <br /> ENVIRONMENTAL, HEALTH DIVISION <br /> ACCOUNTING WORKSHEET <br /> UNIT # <br /> CONIPUTERIPERMIT # 46AIAi- Z0 "57 ' r <br /> SITUS/FACILITY ADDRESS: ZOncn -7—yl 6� <br /> DBA: Cf .4 z/CG� <br /> BILL TO ���� � ''1 � ''� PHONE: <br /> BILLING ADDRESS: Al- zW1,c,-V <br /> CITY/STATE: r-! C ZIP: 'Z[� <br /> PROGRAM: Lam. 5�9 TYPE OFSERVICE: l-e�-l—,AG" <br /> THE MINIMUM TIME FOR EACH INSPECTION IS ONE (1) HOUR, ANY ADDITIONAL INSPEC'T'ION TIME IS COMPUTED TO THE <br /> NE.AREST HALF (1/2) HOUR, INCLUDING TRAVEL TIME. <br /> 140 S =a 12 014 9/Z'/Q l Gt-Ff;C-�� c <br /> DATE WEEKDAY WEEKNIGHT HOLIDAYS DESCRIPTION OF WORK REHS NA�IME <br /> of SAN[- 4:30P,M-SAM/ <br /> SERVICE 4:30PNI WEEKENDS Av 44- <br /> c�a,E <br /> 51-7 t 6 i <br /> T71?IUt / N <br /> X64eo L ��sf�F�Tfr�cl , car✓,[ I`� <br /> �� '7 fG.i'Ciw/f: <br /> ,a�-o �� l��rr�r6 �-�m-• ,�ry � <br /> tJ G�.�L UGCti v <br /> TOTALS <br /> I3AL NCE DUE: <br /> 13ILL.ING DATE: <br /> EH 23 07.3 (Rev 3/22/91) <br />