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P <br /> w <br /> �3' <br /> � �� <br /> Duct Seal Affidavit <br /> Company l - � lt � �((�'�;'�'1(}Y1 License# C <br /> Address�'Jr��� � i[� ��' Permit# <br /> 1��,��J h�1�.S- `, - <br /> " 1 1� ` � '7� <br />� � <br /> I I�Oc�[�C- �1�AQNIMI.affiant,hereby affirm that 1 am the duly licensed contractor of record for the a oye - <br /> referenced permit,that all of the forgoing information is true and aaurate,and.that the duc#sealing at the. bove <br /> I referenced address has been compieted in accordance with atl applicabie codes and standards. <br />� <br /> Contractors Name(printed) ��Yi�C� `���Qdllf�t�/1 Date d2 � <br /> � <br />, Sign ure <br /> I� _ -.^ I <br />