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,�5+�., j� t5,, <br /> i'.� s e.• <br /> y t. <br /> Duct Seal Affidavit <br /> Company I\�S .Q ��r� r� License# � �G� � � <br /> �C 6 <br /> Address Permit# 1� � ��y <br /> ,Sr�-� � �°S'� <br /> �� � ��, , �rr �� <br /> .���L�/ <br /> I�loNr� � !"�� N sx� ,affiant,hereby affirm 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)_ /rJ /�^�� � `-�-�-� �^�'S� Date ' r °� �( -2 <br /> Signature <br />