Laserfiche WebLink
t���� <br /> �-� � �'�'� <br /> . <br /> 0 <br /> '��" 9J <br /> Duct Seal Affidavit <br /> CompanY�T i Tl'-'C(n �•P('u►�PC o� I-�tS�G�v�c• License# �.-'.'��- I gl -rjLj 4��' <br /> Address ��I�� 1 .P��T, — 't �.-� Permit#_ I `-1 L �� - <br /> _ � - <br /> A�R T�cc f+ 5F_�U 1C�� <br /> �c'�•�>C I��'� �Z.�t� , ;_;;'��1— <br /> ��►��� '����Lf ma�`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 � t�� <br /> (printed) �1/x�j•F aJ. ��1C L.f=yy�GY-�, Date <br /> Signature <br />