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ENVIRONMENTAL HEALTH DIVISION <br /> ACCOUNTING WORKSHEET <br /> UNIT## <br /> COMPUTER/PERMIT# / / 0 5 7 <br /> SITUS/FACILITY ADDRESS: 1 i I w <br /> DBA: 1 <br /> BILL TO: PHONE: D � ��- <br /> BILLING ADDRESS: <br /> CITY/STATE: ZIP: <br /> PROGRAM: TYPE OF SERVICE: <br /> THE MINIMUM TIME FOR EACH INSPECTION IS ONE (1) HOUR,ANY ADDITIONAL INSPECTION TZ E IS COMPUTED TO THE <br /> NEAREST HALF (1/2) HOUR, INCLUDING TRAVEL TIME. <br /> WEEKDAY WEEKNIGHT HOLIDAYS DESCRIPTION OF WORK REHS NAME <br /> 8AM- 4:30PM-8AM/ <br /> 4:30PM WEEKENDS <br /> a� G <br /> 7T3&-Io, <br /> - Vr <br /> 10111JA z' <br /> 1 � ga <br /> ®® <br /> �aaa <br /> L <br /> r <br /> TOTAUl <br /> LS <br /> BALANCE DUE: <br /> BILLING DATE: <br /> EH 23 074 (Rev 3/22/91) <br />