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`1 <br /> � � � PROPANE GAS <br /> � AND A/C txc. <br /> �7ce 1988 813-782-5013 <br /> 4441 Allen Road-Zephyrhills, FL 33541 <br /> DUCT SEAL AFFIDAVIT <br /> � <br /> Job Name =��/�(/S (�X�DuD_7_�!!��o License # CAC043948 <br /> Address �O 0 �� � '� /�Jjo� Permit# `�'�'7� <br /> ��oh�r/�C�s. �, <br /> 3�3���.- <br /> Phone ��� � ��g�' 31�� <br /> I, ��V/� �A-yR , affiant, herby affirm that I am the dully licensed <br /> contractor of record for the above referenced permit, that all of the forgoing information is true <br /> and accurate, and that the duct sealing at the above referenced address has been completed in <br /> accordance with all appliance codes and standards with: <br /> astic Tape K-�iC�lastic <br /> Contractor's Name (printed) �L `�� �✓ �A/�/'�.- Date /4- �-/ � <br /> Signature <br />