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. � <br /> • �,., <br /> � ��� <br /> Duct Seal Affidavit <br /> Company� /�� /� /��� � � �� <br /> �'� license# �1� (��_� <br /> Address b�1, 3 � (�) � ..�-e- Permit#���p � <br /> iG-e�r-'f2---,.-�! -u�� �/ �3S`S�� <br /> � - <br /> � .affiant, hereby affirm that I am the duly licensed contractor of record for the above <br /> referenced permi ,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 applicabie codes and standards. <br /> C��i r � <br /> Contractors Name(printed) � /J S Date_ �' /�/ 3 <br /> � <br /> Signature � � <br />