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. �;�-� •!��"�;�; <br /> ., <br /> Duct Seal Affidavit <br /> Company �y/�7' � �Q/jelS6� �'��y������� License# CA�' f��'�� ro� <br /> Sf1/ '7 <br /> Addressz�j�a ���,5� Permit# / �I 3 2 <br /> 2_.,,�� ,��s �-�'� 3 3s�' Z <br /> I d.l�Y/4�Y� Jo�►�5�� 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) c,cJ v /�� /� �O�<+SG•� Date 7' � / '"� �� <br /> � <br /> Signature <br />