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. <br /> ,a f�,�. •K . <br /> :�.,,tis; L,,.'. <br /> . .� ��, <br /> . .: <br /> Duct Seai Affidavit <br /> �t1��lrn�Nr�-� <br /> Company /Qi��_ License# �� �g � ���� <br /> Adaress Fermit# � 3'�p?p�, <br /> �7D� ��r15� � -� <br /> ��u�(�L,L3' 1�'�- 33.���. <br /> � � ffiant, hereby affirm that i am the duly licensed coMractor of record for ihe above <br /> reference permit,that aU of the forgoing information is t�ue and accurate,and that the dud sealing at the above <br /> referenced address has been completed in accordance with all applicable codes and standards. <br /> Contractors Name(printed) , Date d� '' 06 " /� <br /> Signature <br />