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ENVIRONMENTAL HEALTH DIVISION <br /> ACCOUNTING WORKSHEET <br /> UNIT # <br /> COMPUTER/PERMIT#5R oo 2 '"` <br /> SITUS/FACILTTY ADDRESS: l-i�l ( <br /> DBA: <br /> BILL TO: PHONE: <br /> BILLING ADDRESS: <br /> CITY/STATE: ZIP: <br /> PROGRAMA�)T TYPE OF SERVICE: <br /> F THE MINIMUM TIME FOR EACH INSPECTION IS ONE (1) HOUR, ANY ADDMONAL INSPECTION TIME IS COMPUTED TO THE <br /> NE14ET H#IXF (1/2)-HOUR,INCLUDING TRAVEL TMIE. <br /> kNr5 -i r v <br /> WEEKDAY WEEKNIGHT HOLIDAYS DESCRIPTION OF WORK REHS NAME <br /> 8AM- 4:30PM-8AM/ <br /> p 4:30PM WEEKENDS <br /> l qq y <br /> U 2� �y Z;00.3: 30 I� Z 60 ON-1- PIA- <br /> L4 <br /> 2� �� tD:3b-�t:3� �t�tdw+ /GkP•/�lhtc tc �ia�.�./ <br /> / n <br /> 4s�o-ia••3a � �� �/ ---t��y <br /> l�- <br /> 5,2�, y.o�-►{:go Z In5p•-w ur- Q,eg t a et k,5t <br /> -W5-1:1,- In tng fns . <br /> ��- 2:00 4,30 ROvrn A 5 revues la <br /> TOTALS <br /> BALANCE DUE: <br /> BILLING DATE: <br /> EH 23 074 (Rev 3/22/91) <br />