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E <br />E <br />ENVIRONMENTAL HEALTH DIVISION <br />ACCOUNTING WORKSHEET <br />UNIT # <br />COMPUTER/PERMIT # <br />74� <br />SITUS/FACILITY ADDRESS: <br />DBA:' <br />BILLING ADDRESS: td.# 71 It IT If- 11-220 Lff'fi?5 <br />CITYISTATE: if 0 zip: <br />PROGR,kMi: 61 TYPE OF SERVICE: <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 1111AE. /�w / -Z Ao- /J-- .73 / y6 <br />1 DATE <br />of <br />SERVICE <br />WEEKDAY WEEKNIGHT <br />8AM-4:30PM-8AM/ <br />4 '30PM WEEKENDS <br />DESCRIPTION OF WORK <br />A <br />�� <br />13AIANCE DUE: <br />BILLING DATE. <br />EH 23 074 (Rev 3/91) <br />