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w <br /> � <br /> � � <br /> Duct Seal Affidavit <br /> �lv'Z/?ON/I'I���-- �r'�� �� � 02 <br /> Company �D�� License# <br /> Address �/�� �ft�f��C//�� l�K� Permit# � 3 � �?� <br /> �� ������ffiant, 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 applicabie codes and standards. <br /> Contractors Name(printed)�I�1�Z,�S��iPF{�R L �lP/YI� Date�11� �4 �l,D(,.� <br /> � � �� <br /> Si nat �=�c./Y�'Y <br /> B <br />