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UNIT # <br />COMPUTER/PERMIT# i�COA)OLPII,?3-3 <br />SITUS/FACILITY ADDRESS: <br />DBA: <br />BILL TO:, c o 4'tt'� n PHONE: <br />BILLING ADDRESS: <br />CITY/STATE: )v c ZIP: eosp <br />PROGRAM: MCI S 74 TYPE OF SERVICE: <br />A <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 <br />1 of <br />SERVICE <br />WEEKDAY WEEKNIGHT <br />8AM- 1' :• <br />4:30.M WEEKENDS <br />DESCRIPTION OF WORK <br />OVA F <br />-�Iy'��..i <br />I I Mal 22 'X <br />rKl-wA E -40A wmo'�' <br />,■----�� <br />k • • © <br />III � ■_.... <br />■1��., <br />14 1 t <br />BALANCE DUE: �t Ah'a" <br />BILLING DATE: <br />EH 23 074 (Rev 3/91) <br />E" <br />olu <br />