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. � - , <br /> Duct Seal Affidavit <br /> �� ��� <br /> Com an License# /���� <br /> P Y <br /> A ess� � K/ � Permit# ��� �� ( <br /> L__- <br /> .-, n <br /> /` <br /> ���u��.�LS � 335�'�/ <br /> I l�►Tl1 � � ffiant,hereby a�rm that I am the duly licensed contractor of record for the above <br /> reference permit,that all of the forgoing information is true and accurate,and that the dud sealing at the above <br /> referenced address has been completed in accordance with all applicable codes and standards. <br /> Contractors Name(printed) � P'��72� Date ��/���� <br /> Signature <br /> r <br />