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R <br /> � <br /> ,�" ��y <br /> Duct Seal Affidavit <br /> Company ���' �� r �L� <br /> �icense# /-}C %�'J 5�/9�"' <br /> Address I�.p. �ok ���p <br /> �---- Permit# <br /> �E.Pt�y�H I G�s � � �-��q <br /> ��Y��� ����' 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 applicabie codes and standards. <br /> ContractorsName(printed)��y�,p� �, �C <br /> ,�vn.�✓.o Date (�-� - �,�j i'3 <br /> Signature <br />