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UNIT #' <br />• <br />0 <br />COivIPUTER/PERMIT# CI-4e4z'. <br />SITUS/FACILITY ADDRESS: A0— L7E-& I' { ccr Tc- XeKy )N <br />DBA: <br />BILL <br />TO: Az C)t, JouAlf-ICI PHONE. <br />BILLING ADDRESS: <br />CITY/STATE: iOlGt (,k-`"ZIP:L. <br />PROGRAM: TYPE OF SERVICE: l 1x �r=.fi"t� it►���'�'� � 4 t Y j���-t I(, <br />TME 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. y�� <br />bV <br />DATE <br />WEEKDAY <br />WEEKNIGHT <br />HOLIDAYS <br />DESCRIPTION OF WORK <br />RENS NAME <br />of <br />8AM- <br />4:30PM-8AM/ <br />SERVICE <br />4:30PNI <br />WEEKENDS <br />30 <br />ZZ -G� <br />rJ <br />o, iie W31 M— <br />4x dw <br />ltn (�Chec <br />�t +r <br />i. <br />y- co <br />"r l/ '� <br />"� <br />•® <br />\/'lig <br />IC <br />/✓/ '`• <br />t /i ' <br />TOTALS <br />1;Al..\NCI; DUE: fV) <br />BILLING DATE: �I/L <br />EI -I 23 074 (Rev 3/91) (JO <br />i� <br />01 <br />ph <br />NA <br />0 <br />MA <br />hl,4 <br />fgT <br />NA -T - <br />NA <br />A <br />