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w <br /> � <br /> K �*, <br /> ���_ <br /> Duct Seal Affidavit <br /> Company �1�� `-�jCy�.� License# �ac� �I 3�..�� <br /> Address �'�1 h-\ �Q�����'��' Permit# I��� <br /> `lam� > �L� ��� � <br /> I � 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)��� ��(.s�� Date I � � b�-� <br /> � <br /> �� <br /> Signature <br />