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K <br /> �-Ke' a's�•yh <br /> �t�� ��+J/� <br /> Duct Seal Affidavit <br /> Company+'��r ��� ��V��-`PS (}T ��5��' License#�C (�S� S��o <br /> Address 1��� • �X l 1�-U Permit# � ��y � y <br /> 2-P-=h�r��� 1�S � �- 3"���t <br /> ,�� ���vu ll��"� 5�-- <br /> C <br /> ����+�r,�.,�-�u_s , F� . 3 7, <br /> I(�c�v��S [�j. (y1�C.P rr,or-�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(printed) C'►`�l��-2S �� �<<-'C`Y�%--e Date_��� 7! �G/� <br /> �'- <br /> Signature <br />