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R <br /> . s'�h�, fi'� <br /> ' �L+K <br /> ;;T',.k{' ti.l,�� <br /> , t <br /> Duct Seal Affidavit <br /> Company p„/�/�ieadlr�l��-�, C.'dX4✓ License# C�C. t��r'�'��I� <br /> Address ,(���, `Z � sT Permit# j e2.Q�� <br /> ZF;P1��J���uS' �L. <br /> I�N�����✓ .affiant,hereby affirm that I am the duly licensed contractor of record for the above <br /> referenced permit,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 /> Contractors Name(printed) L�s� Z... G/yfi'�'1?l¢rJ Date �'/ ' `� " ���2 <br /> Signature <br />