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a MWi. <br />MOM I MCM d M�� <br />UNIT # � <br />COMPUTER/PERMIT # <br />SITUS/FACILITY ADDRESS: <br />DBA: <br />BILL TO: Alar Cc- PHONE: <br />BILLING ADDRESS- 7;� <br />CI Y/STATE: ZIP: <br />FtROGRAM: TYPE OF SERVICE: <br />T"HE MIN11MUNM TIME FOR EACH INSPECTION IS ONE (1) HOUR, ANY ADDITIONAL INSPECTION THE IS COMPUTED TO THE <br />NE.A.QST HALF (1/2) HOUR, INCLUDING TRAVEL ME. <br />DATE <br />of <br />SERVICE <br />WEEKDAY <br />SAM- <br />4:30PM <br />WEEKNIGHT <br />4:30PM-SAM/ <br />WEEKENDS <br />HOLIDAYS <br />DESCRIPTION OF WORK <br />RENS NAME <br />Z17A= <br />/;,,-30 <br />Aaw aiV4 <br />e&l <br />j/ vL <br />L qLlq.',06-12:oo <br />TOTALS <br />BALUNCE DUE: 2 S3,0 <br />BILLING DAM <br />EH 23 074 (Rev 3/22/91) <br />