Laserfiche WebLink
� <br /> 4 <br /> �� <br /> Duct Seal Affidavit <br /> Com an ��l r� S ���? � � , �f� �, C/ _S c�S �-S <br /> P Y � � License# <br /> Address � ��ya �.S �`�i ��%�"`- Permit# �� ��/ <br /> ,�-��,�� ,�'�� l/ �3Sy� <br /> I � i on�P affiant,hereby affirm that 1 am the duly licensed contractor of record for the above <br /> referenced permi ,that ali 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) �`i � Date �c ' `�� / 3 <br /> r <br /> % , <br /> Signature �� �, <br />