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' PROPANE GAS <br /> AND AIC [NC. <br /> , <br /> - y��� . . <br /> ����� <br /> � ,_ <br /> 8��782�50�3 � 35�M567M7�78 <br /> � 444i ALLEN RD. 15229 US HWY 301 <br /> ZEPHYRHILLS,FL 33b41 DADE CRY,FL 33523 <br /> Duct Seal Affidavit <br /> Company�Af�Q S �Ra A,✓ a Z�G , License# CAGO Y31 y� <br /> Address �YS�/A//c�✓ R� Permit# � 3 D� / <br /> ��,oT h,���s FL. 3.�sy� /��+_M_� {'2.rl�rr/L O <br /> � � ���/ 73��5% <br /> . z ��1'<l�s <br /> I /`t �/. `,v ���/�[ ,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 ail applicable codes and standards. <br /> Contractors Name(printed) /� �v' �"� �'��2" Date�� l <br /> Signature ' <br /> . <br /> .� <br />