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G� �� - � <br /> ` <br /> ,s <br /> Duct Seal Affidavit <br /> f . 1 <br /> Company � C� � ��C(f License# ( _ /-[ ��� ,s L� 7 � <br /> Address Permit# � <br /> ' �` � a� , <br /> Z � � � -� � S G�� <br /> j � <br /> � <br /> � ! �� /i. ��affi�, here y affirm that I am the duly licensed contractor of record for the above <br /> referenced pe mit,that all of the forgoing information is true and accurate,and that the duct sealing at the above <br /> referenced a dress has been completed in accordance with all applicable codes and standards. <br /> � <br /> c_. �� �� <br /> Contractors Name(printed) ��� 2 ��'�`�f/ pate � i � � � �( <br /> � ° / '� <br /> Si ature ��r/'��` ''�"' <br /> -x �CJt _ ...-__---'_"-_. <br /> .v�F , <br /> «�� -!� daY of � ``R9P' CYNTHIA C GUEST <br /> ;�t� vei <br /> �r►.,:�;�r i�ally a � ared � - `,+°• `�� Notary Public-State of Florida <br /> * : : My Comm.Expires Apr 6,2014 <br /> , - �- �.�v�n to be �: t„on w - '-;+�°�' Commission�DD 979617 <br /> � ho executed the �,F�oF F��� <br /> • �na��` ��trumeht,a�1d acknowledged that he Bonded Through National Notary Assn. <br /> x� �._ � ��same a ' free a�t�a2d A�OaL�� <br /> �P°�.P � <br /> `— MAt�,tet►F�u���r � <br />