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. <br /> 0 <br /> r: � <br /> Duct Seal Affidavit <br /> , , <br /> Company '�1 S ��C �G+�� License# �D ..5��-5 7,.5� <br /> Address �,�5(oDC7 'rre �y (�n()" �D� Permit# �� �.� <br /> ������ �s _ �� .��3..5-'YD <br /> 1 (.Gt,��.5 J or��S' ,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 rinted / �i"� � � /02 <br /> (p )�, S �2�n�� Date � <br /> d <br /> Signature `� � --� <br />