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w <br /> f <br /> Duct Seal Affidavit <br /> Company�/�� � ��/J � � ��L)���' License# /` �7 �� �� t� �� d �. <br /> Address � �y� � 1����2� G� permit# � ���� <br /> � �6'���-h� c�..S <br /> � /r/� � affiant, hereby affirm that I am the duly licensed contractor of record for the above <br /> referenced rmit,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) �« ,.) V�� �' D � <br /> � Date � 1��Z a-O� <br /> Signature <br />