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� <br /> n,;�`,� �< <br /> � - <br /> ��.`j b�_ �'i <br /> . Y <br /> Duct Seai Affidavit <br /> CompanyC•II��1'iP�/�i!TD ��pi�i License#��• � g� �}�� <br /> Address� �-} 7 / �� � Permit# ) ,3 l � <br /> ��� Y��"�s �L <br /> � �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)��_���ie{fYj�-� Date Si���{ )L1 �Oj.� <br /> � <br /> . <br /> Signat e <br />