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' • � <br /> Duct Seal Affidavit <br /> Company l f ��`E -� ������- ���/IJ� License# �/'7 �j Q��`���-- <br /> %--� _ - - -- <br /> Address���d b�� S m�'�I ( Permit# � �� �� ' <br /> � <br /> 2���rz H1.��S � 3 's�-l� � - --- _.__--- <br /> I ��` �Ud71 GE ,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) �� SUS�G G Date � („ Q GT �/� <br /> Signature (`�l� <br />