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, " � ' � <br /> . • S.I 4�F=��" <br /> � s. <br /> Duct Seal Affidavit <br /> Company a��Z �1 C. �C1C,� �,t��di� License# CmC h 55y�b <br /> � <br /> Address ���.` �Cx,�l� L`�v Permit# l 3 1�.� <br /> ��ivr�� ��� f E'�. 335ya <br /> I Wna 1d��,�� ��,��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) Otb.,�d . �CL TCl Date 3 � ��� <br /> Oea t��,�tt�C �l�kr�C.����'r�.c�.�v�a. o rl <br /> �� \� <br /> Signature \\ ,� '� � �`�-- <br />