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, �js; -� <br /> . � + , <br /> Duct Seal Affidavit <br /> Company_ .c3��C i'[f� /�j� j`f� License# G.�i�UJ�/7�' <br /> AddressJr��l� �� ����� qt/� Permit�# ,� 7�� <br /> �'r-��/ /S �j �.�'.�'�� � <br /> I ,C�y�'1 �G !3,C�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)__�,�L��li! `�-/�i L f'�/�f7`� Date —�'s'�� <br /> � <br /> Signature --..- <br />