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w <br /> 0 <br /> ti <br /> ty� tiL}7 i <br /> Duct Seal Affidavit <br /> Company�fVCe ..�o,ngS M���2 License# C►�CDS[a7�4 <br /> Address y773 S;�UG�✓ Ci�e Permit# t a9 g9 <br /> Z e,�hr �/�,'llS �L. 3�I <br /> I �fUt_P J Or12S ,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) �rUGe �c��12 S Date �7''�$ "�.2 <br /> Signature �w-- <br />