Laserfiche WebLink
40 4 <br /> ENVIRONMENTAL HEALTH DIVISION <br /> ACCOUNTING WORKSHEET <br /> UNIT # <br /> COMPUTER/PERMIT # dY3 <br /> SITUS/FACILITY ADDRESS: t� <br /> DSA: Sa C <br /> B ILL TO: Is V I�� PHONE: <br /> BILLING ADDRESS: <br /> CITY/STATE: (f A _ ZIP: <br /> PROGRAM: _ ��� TYPE OF SERVICE: � <br /> THE MINIMUM TIME FOR EACH INSPECTION IS ONE (1) HOUR, ANY ADDITIONAL INSPECTION TIME IS CO?4PUTED TO <br /> NEAREST HALF (1/2) HOUR, INCLUDING TRAVEL TIME. <br /> DATE W EKDAY WEEKNIGHT HOLIDAYS DESCRIPTION OF WORK REHS NAIME <br /> of SAiNI- 4:30PM-SAM/ <br /> SERVICE 4:30PM WEEKENDS <br /> �. K" <br /> 30 - 3•��i <br /> Lf <br /> TOTALS j <br /> BALSNCE DUE: 24-D <br /> BILLING t),1"L'P: <br /> EH 23 074 (Rev 3/22/91) <br />