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13-13866
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13-13866
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Last modified
12/26/2013 10:46:51 AM
Creation date
12/26/2013 10:46:50 AM
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Building Department
Building Department - Doc Type
Permit
Permit #
13-13866
Building Department - Name
FARLEY,CAROLYN
Address
5526 6TH ST
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Feb 21 2013 03:02PM HP FaxSuperior Heating &g 8138149374 pa9e 2 <br /> .f S�i �� °�= <br /> Duct Seal Affidavit <br /> Company.�i�fi4�.- /�F.�s�t�r �'���cY license# �� 7 i-`f ��Z3� <br /> Address �.�.5�-G �`•� �'� PerrnR# / 7J�'�� <br /> �£P/� ���� d—�-� 33.iY�- <br /> � �0�� ��''`�'t'"1��afflant,hereby affirm that I arr�the duly licensed contractor of record fw the abov� <br /> referenced permft.that all of the forgoing information is true and aaurate,and that the dud seating at the above <br /> referertced address has been completed in accordance wlth all appNcable codes and standards. <br /> Contractors Name(printed} ��3Eic.{, �iiNcjtr�c- �ii�/t� Date � � Z t � 3 <br /> , <br /> Signature <br />
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