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, � . . <br /> Duct Seal Affidavit <br /> Company ,61 ft�iE'$ �/`d�o-i¢/U�?�S.�i+-S 't �.�i(.�-�icense# ���d �3 !� <br /> Address ��//�� //![�71')/�}-S Permit# ���/ � <br /> ��7 //�rdei- <br /> ��h��r�,�/�, �. 3�5�� <br /> ���- ���r���� <br /> �! � <br /> �/��'^� '� �Af��P ,affiant,hereby a�rm that 1 am the duly ticensed contractor of record for the above <br /> referenced permit,that all of the forgoing information is true and accurate,and that the duct seaiing at the above <br /> referenced address has been completed in accordance with all applicable codes and standards. <br /> Contractors Name /' � v�'� v. ��0 2 � <br /> (printed) � Date � Z Z �Z <br /> Signature <br />