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F <br /> � � <br /> �� ! <br /> 1��"! �?�J <br /> Duct Seal Affidavit <br /> CompanyA�r�K�l r�(IC..,F� Ij r��SCU License# C/�L���`���1� <br /> Address i��U 1�v�� Permit#_T_� �� <br /> ���y�ZFF t LL�; t � 3 3 539 <br /> �c,3� �`� ���. <br /> ZE�`t � rt t lL �l . �-��y a <br /> �.�'�1�_i7'1�L�rna P affiant, hereby affirm that!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 ail applicable codes and standards. <br /> Contractors Name(printed) (� �v�.PS ej. m� y�y-i��_ Date ,3" �!� <br /> � <br /> s <br /> Signatur <br />