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1 <br /> � <br /> ♦ <br /> 9�1 <br /> Duct Seal Affidavit <br /> Company /��� ���_j r� v License#���C"L1 ,SI�,S� �J <br /> Address �����.��{ (,�k�GJ Permit#_1 7 �-, d <br /> �� �y� �az����'e�� <br /> �,'-�u�,�,w��i/`/�-� <br /> ?-� � <br /> ���.��/°_ <br /> I , � iJ 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 /> � / <br /> Contractors Name(printed)__� r/�5 !-J o/I� � Date �/ .�(� /� <br /> r' . <br /> Signature r% - r- <br />