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y & <br /> r� <br /> �t; . . <br /> r4 � ..t,S �;��`' <br /> �• <br /> Duct Seal Affidavit <br /> Company �AY �2� ��C License# C�� ��� y�s <br /> Address 70 3V DSTEF�✓ QD. Permit# �3 Z /�g 3 <br /> �/Ew Po✓zT R i cH E�{ F� <br /> 3y6s3 <br /> X I affiant,hereby affirm that 1 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) DA�F NuTCNi�s Date �'�,3'� Z <br /> ✓ � <br /> l� Signatur <br /> posT w ►�1-� <br /> ���,�,T <br />