Laserfiche WebLink
. <br /> w <br /> 0 <br /> rr`�, �y� <br /> Duct Seal Affidavit <br /> Com an �l�V.�/�O/�/�,,,�///t'� � < /7� / �,� <br /> p v l�l License# <br /> Address (GiJ ��% ��J�� �� Permit# � �� <br /> �1�T7���S � <br /> � � ���ffiant, hereby affirm that I am the duly licensed contractor of record for the above <br /> referenced ermit,that all of the forgoing information is true and accurate,and that the duct sealing at the above <br /> referenced address has been completed in accordance with all applicable codes and standards. <br /> ,� <br /> /' ,�y/ �;�/ � % <br /> Contractors Name(printed) J r /////2�(� Date����/ � <br /> � <br /> Si natu� <br /> B <br />