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. <br /> . <br /> � �� <br /> Duct Seal Affidavit <br /> Company '�>> -�P�� � l f"lf� License# (��{�C, 1R i� l q Lo <br /> Address�� ��� ��� ��("� Permit# <br /> �TI '�5�� �I � �� <br /> � � '� affiant,hereby affirm that I am the duly licensed contractor of record for the above <br /> referenced permit,t at 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) t'Q,_}"�►� ��t�� � Date� � <br /> c � <br /> Signatur <br /> _____- <br />