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. <br /> i. <br /> s <br /> Duct Seal Affidavit <br /> Company / ��G,� `���� C�„-r �a-ar.G �, -� .�,___ ..— <br /> �`" � license# � /�G �� :� �,��� <br /> � , <br /> Address _�� Y�G �` �,�z�`f /�'/ � `� g� <br /> Permit# ! L_(L.__ <br /> �--� ` ?,' � <br /> � ��✓?��i�" <br /> ���,����' �� �s�S �'� <br /> /� <br /> ��/ '� �'�' affiant, hereby affirm that I am the duly licensed contractor of record for the above <br /> reference ermit,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 ail applicable codes and standards. <br /> Contractors Name(printed) ��/� �p�J{� �_ Date 'r �� /� <br /> , � <br /> 4 = • ��� � <br /> Signature �f � � � <br />