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w <br /> e <br /> � �� <br /> Duct Seal Affidavit <br /> Company �+�2��c..� ��r4�:�� �icense# C�C�k 154 5� <br /> Address p•U �'GX 1 1 �' Permit# �����) <br /> 2�ttyR►�1LL'r�—I • 33531 <br /> I C�c,�l�� P�. 1'Yl`���{1fl�P.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 /> ContractorsName(printed)�r-��� �j. ���/�('p�� � <br /> Date • ��/� <br /> Signa re - <br />