Laserfiche WebLink
ENVIRONMENTAL HEALTH DIVISION <br />ACCOUNTING WORKSHEET <br />UNIT # 22 <br />COMPUTER/PERMIT # <br />SITUS/FACILITY ADDRESS: <br />ff-'ILL TO: f ---Q b t4lt-, �- 4 1 Ue� -j- A,% o c-1, PHONE -L7,6-7--74-144-1 <br />BILLING ADDRESS: <br />CITY/STATE: 2&4 -pr (,"m a I zip: <br />PROGRAM: U &-ST —1 1 PEE Or SERVICE: -T"I<- <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 TlME. <br />s )+125' rAnl) c— q <br />DATE <br />of <br />SERVICE <br />WEEKDAY <br />8AM- <br />4-30Pm <br />WEEKNIGHTi <br />4:30PM-8AM/ <br />WEEKENDS <br />i <br />DESCRIPTION OF WORK <br />mWw'JAPP&I <br />WWI <br />M <br />J �' !," <br />' r <br />_� <br />Tiff, <br />IIAL%NCE DUE: <br />BILLING DATE: <br />EH 23 074 (Rev 3/91) <br />