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. <br /> 0 <br /> � � <br /> Duct Seal Affidavit <br /> � �,� � �, �-�> � �� N�" D;� �� �-� <br /> � ' ' �� ,/� 1/��� ?� r� � l � � <br /> � � � , � C <br /> Company �'1� I � 7 {� l/� License# � � � f'� / Cl � � <br /> , <br /> Address h � (i�i M�'� / � /i� S�j ��• <br /> 7/� , � , Permit# <br /> � �/) �� �/'(//� <br /> �' � � � , - � ��s`� �- <br /> � /� �� � <br /> � `�"'�f��� ! ,/ ���affiant, hereby affirm that I am the duly licensed contractor of record for the above <br /> referenced pe mit,that all of the forgoing information is true and accurate,and that the duct sealing at the above <br /> referenced a dress has been completed in accordance with all applicable codes and standards. <br /> � <br /> � <br /> _ � � � - ' - C <br /> Contractors Name rinted ' � �/� � C �J <br /> �P ) � , � � � Date ` l <br /> -� <br /> j� � / `��`'qY PUe��' SUE ELLA BROGDEN <br /> / �' ;r°�. ,*�: Notary Public-State of Florida <br /> i� :� ' <br /> Signdture -i - /-� -��'" --2�� iN9f p`;My Comm.Expires Jun 15,2015 <br /> Commission#EE 103741 <br /> � ''�•;o`�`�° Bonded Through National Notary Assn. <br /> ����., <br /> _ ,� �����,0 �. <br /> I --��-� � <br />