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. <br /> ,.��� � <br /> .:r.:�4� ��° <br /> � �. <br /> Duct Sea1 Affidavit <br /> .#;,ll�rr��r�L <br /> Company ����� License# �-�tt l�� �y/� <br /> Address Pernnit# /7 � <br /> ��90/ 5'�.�� <br /> ���X���� �?�3�� <br /> � • ����G��affiant,hereby affirm that I am the duly iicensed contractor of record for the above <br /> referen d p+ermit,that all o#the forgoing information ts true and accurate,and that the dud sealing at the above <br /> �eferenced address has been completed in accordance with all applitabie codes and standards. <br /> Contractars Name(printed) Date ��'�! -'l� <br /> Signatu e <br />