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. <br /> � <br /> Duct Seal Affidavit <br /> Company i�"II�L� J �-�'�,�}77/UC� ;j- CCXJ�.� /�� �icense# �� I�D( 7/�-O� <br /> Address_����-S �/�n �.��� ,`f Permit# � 4��� <br /> ( <br /> ��lfY�lf2LL S , �_�?�� � _. _ - " <br /> � �L��"�L �L`.��� ,affiant,hereby a�rm 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)_��L.q'� ��-STjCL� Date � � G�� � G I .� <br /> Signature �� <br />