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.��°l �,± } . <br /> � Duct Seal Affidavit <br /> Company S���r�t�w `}��AGT�K_�_,,o.,Lr t.�— license# C�l�2 r—/L y �j y�� <br /> Address�7/Z � !n/ L�It.c� �v�-� Permit# �3��s� <br /> ��'�/1Yti i;�-�L�.. �3���d v <br /> I (��3�.��' JTC�',�e� 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)�G/���t,� ��h y,c.-. �D� Date �` �3' I3 <br /> Signature �-�l�' <br />