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� . . <br /> ' t.� ..�_.,��'�` <br /> i } '� <br /> Duct Seal Affidavit <br /> Company�c'�p��«a''' �A!!�' ��"rrr�'t�' License# C.�f'n G I ZY�< Z`�l <br /> Address <br /> 3��' 7 � !� � �tr� Permit# � yD L/�� <br /> �,9i� ��t�-�� IG�- �3.�� <br /> I (����E�z ,T�FF�� ,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) 12 G�E'K'Z WR,�,c�" �/e'�-v Date 7 ' 3' / 3 <br /> Signature � <br />