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ENVIRONMENTAL HEALTH DIVISION <br />ACCOUNTING WORKSHEET <br />UNIT # <br />COMPUTERIPERMIT # S R CSO l ! L�/V <br />I-% n A <br />SITUS/FACILITY ADDRESS: <br />DBA: <br />BILL TO: PHONE: <br />BILLING ADDRESS: <br />CITY/STATE: �7 ZIP: <br />PROGRAM: TYPE OF SERVICE: <br />THE MINIMUM TM(E FOR EACH INSPECTION IS ONE (1) HOUR, ANY ADDITIONAL INSPECTION MME IS COMPUTED TO THE <br />NEAREST HALF (1/2) HOUR, INCLUDING TRAVEL TIME. <br />BALANCE DUE: <br />BILLING DATE: <br />EH 23 074 (Rev 3/22/91) <br />2.J <br />WEEKDAY WEEKNIGHT <br />HOLIDAYS1' <br />• OF • • 1 <br />1' <br />4:30PM WEEKENDS <br />r ' <br />,RM NWIMA <br />_.,. <br />rAV SM <br />BALANCE DUE: <br />BILLING DATE: <br />EH 23 074 (Rev 3/22/91) <br />2.J <br />