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w <br /> . <br /> � �� <br /> Duct Seal Affidavit <br /> � ` r � <br /> Company ��5 ��. ��'�'"� G��� License# ��CO --���-��� <br /> � y <br /> Address J��C�a�s� ����� ''4�P Permit# <br /> �'-e,,alw r��' ��s, /��• ' <br /> I ��lr, s ��`��'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 /> �� � <br /> Contractors Name(printed) t�, �r lS �� <2 -P� Date � � 02 <br /> Signature �� uO <br />