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. <br /> 0 <br /> ''� 9 <br /> Duct Seal Affidavit <br /> Company �v 2. G O � � � � �icense#_ L�4 G I �f �7�d <br /> Address � � C � ��f�S� L Permit# / � �.�� <br /> ��� �'��� � � �S� � <br /> I__ -�u Lrt �� ,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) _VGr�,_,_� _ r�� Date <br /> � -- �� �-- <br /> Signature � <br />