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.� <br /> Duct Seal Affidavit <br /> Company_�_ � US�y�►�1('A ) �-I c-'AT7 �1���C �icense#��� Q 5 b' !v �--�a <br /> Address 7 J� �f�a f.-fa v l� o ll t' F1' �2 Permit#_ / y 9 /� � <br /> Zc.(' W ��'� r�-1 � )1 S j--� o r r [� A <br /> 33.�� � <br /> �AJn l>Zv I.v� I� i l-�5�� 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)=_ � �-D N L� (,U 1��u5�� Date � � � g � � <br /> :•�" `' �� <br /> /;.: ,% / � <br /> Signature �`� �iZ% .' <br /> =r <br /> fJ ;�, • <br /> �t / t . <br /> ",i <br />