Laserfiche WebLink
mom <br />UNIT # <br />COMPUTER/PERMIT # <br />SITUS/FACILITY ADDRESS: W, I I CA 5-3-7 <br />DBA: <br />IVILL TO: Lee- -it— Ar5sociA-rr-s PHONE: :70-7--7,6F-/ialj <br />BILLING ADDRESS:\ \ 3-1 9,, M c,Do i,) F_u._ e L -V <br />CITY/STATE: kyLal:, C--,* � ZIP: CN-17Eiz <br />PROGRAM: 6_57 —TYPE OF SERVICE: `o tA <br />THE MINIMUM TIME FOR EACH INSPECTION IS ONE (1) HOUR, ANY ADDMOjNAjL INSPECTION TIME IS COMPUTED TO THE <br />NEAREST HALF (1/2) HOUR, INCLUDING TRAVEL TIME. :6 Mqa,--,5 P.*14( 'o -z5_71 <br />DATE <br />of <br />SERVICE <br />WEEKDAY <br />8AM- <br />4:30PM <br />WEEKNIGHT <br />4:30PM-8AM/ <br />h WEEKENDS <br />DESCRIPTION OF WORK <br />WMA <br />IN am_ <br />BAIANCE DUE: <br />BILLING DATE: <br />EH 23 074 (Rev 3/91) <br />