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a 19-- 1 [S®rel 18H Ims I 094re sifffi�flwffllf <br />UNIT # <br />COL-YIPUTER/PERMIT# <br />SITUS/FACILITY ADDRESS: S77 +-,6 � 7;0 -c/4nrDJ <br />DBA: <br />BILL TO: --rlJ4f - PHONE: <br />BILLING ADDRESS: <3o77 F/7 -r Ctec-JE <br />CITY/STATE: lSej*C,9,4/yEj7-0 C,4 ZIP: <br />PROGRAM: q,3..6 5 TYPE OF SERVICE: <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 <br />uf <br />SERVICE <br />WEEKDAY <br />SAM- <br />4:30PM <br />WEEKNIGHT HOLIDAYS <br />4:30PNI-SAM/ <br />WEEKENDS <br />DESCRIPTION OF WORK <br />RENS NAME <br />-7 2 <br />12 0/1% <br />2--30 - 3 -, Y6 <br />k vgl d - --, e <br />ca- i U-,/ e,4 <br />f <br />X► <br />fee <br />. . .. ..... . . .... <br />IIAL%NCE DUE: <br />BILLING DATE: <br />EH 23 074 (Rev 3/22/91) <br />