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. <br /> 0 <br /> Duct Seal Affidavit <br /> Company �I�� � l�f'E✓�'I�NC� d—CG��I 1� (� License#_ �L, I3 a L� � /—f-6�- <br /> 3��a I �. � ,��� ��_._-. ---- , <br /> Address Per it# � L.���p <br /> 2C-��tY2r-�-rcc S � �. 3 3 5�2- � _ _. ----- <br /> I N C� �UST1 �� .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 TuS77C� Date �l O G� 2� /3 <br /> Signature �`l��' <br />