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F-1 <br />LaA <br />I <br />ENVIRONMENTAL HEALTH DIVISION <br />ACCOUNTING WORKSHEET <br />"mrr A -- <br />a,4-hP- <br />COMPUTER/PERMIT # <br />SIT11,S/FACILrrr ADDi*4-4SS: <br />DBA: <br />BILLTO: +WA5-71A51'14 A -A^( <br />BILLING ADDRESS: V qo <br />CITY/STATE: 0 SLA091'56 P�' ZIP: <br />PROGRAM: (r -T TYPE OF SERVICE: r A-L� < <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. 14 lh� r al� <br />DATE <br />of <br />SERVICE <br />WEEKDAY <br />8,,lkM- <br />4-30.M <br />WEEKNIGHT <br />4:30PM-8AM/ <br />WEEKENDS <br />DESCRIPTION OF WORK <br />1mW <br />w t A <br />BALANCE DUE: <br />BILLING DATE. <br />EH 23 074 (Rev 3/91) <br />