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' ' { . <br /> Duct Seal Affidavit <br /> Company������iltPicTl-,qL ��r`�i�f License#�� l�/`� �7� <br /> Address_ .� "7_5 3 � �-0/"��.�S 5?� Permit#_,/ 3 `f� �] <br /> z��r� s�R ��c � s r- � <br /> � /�/� ���1�,affiant,hereby a�rm 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) ���,�� C. f�'���i,� Date_/F� '' �Sj /� <br /> Signature ` <br />