Laserfiche WebLink
i <br /> ENVIRONMENTAL HEALTH DIVISION <br /> ACCOUNTING WORKSHEET <br /> UNIT # <br /> COMPUTER/PERMIT# �i(� Fly <br /> SITUS/FACILITY ADDRESS: 7 1 <br /> DBA: L- <br /> BILL TO: �bL7 L /�li`lL�.��.'q� s,4�77�- PHONE: <br /> BILLING ADDRESS: <br /> CITY/STATE: /b j>- �G�-- ZIP: Get <br /> PROGRAM: ,i f- O-r7 TYPE OF SE-RVICE: /� T4.'14 L- P44AI I92Xrf/,EL(1 <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 TIME. <br /> DATE WEEKDAY WEEKNIGHT HOLIDAYS DESCRIPTION OF WORK REHS NAME <br /> of SAN[- 4:30PNI-SAM/ <br /> SERVICE 4:30PM WEEKENDS <br /> �v q a:�/=ir,�� ��.,�`EAG • � i N..� <br /> TOTALS <br /> BALkNCC DUE: <br /> BILLING DA'Cr: <br /> EH 23 074 (Rev 3/22/91) <br />