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� —�� <br /> �� � �RCJPA�IVE G�S ' <br /> .>� " ��� .�l.�C a�:e <br /> �� �-�'82-5Q i� <br /> . � � ;;:_} <br /> DUCT SEAL AFFIDAVIT <br /> Job Name i�1/L �jiv.yt �i2o�v.a..�7 License # CAC043948 <br /> Address ..�8�c� C y�2t SS,$T, Permit# <br /> �� <br /> Z�� .� .•/%s �"L__ <br /> .�3sy z <br /> Phone �� .� —�7 7�— 2� 7 Z <br /> I• �� affiant <br /> , herby affirm that I am the dully licensed <br /> contractor record for the above referenced permit, that all of the forgoing information is true <br /> and accurate, and that the duct sealing at the above referenced address has been completed in <br /> accordance with all appliance codes and standards with: <br /> astic "l,ape � Mastic <br /> Contractor's Name (printed) �V��w � ,�qf�/'� Date <br /> Signature ��� <br />