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'� �'�; <;r <br /> :, , . , . ..;� ; <br /> >,. <br /> . _x,,;. <br /> Duct Seal Affidavit <br /> CompanyR(_Y�C� �� 'C i(,-�'� License# �./-'�C ��� 5��� <br /> Address �� - �X !"�'�ap Permit# 'r`�'��f�y <br /> -z�Pl��l�H 1►-L� ; �� •3353�'� <br /> �� `� 5���� `��' .A:re � <br /> �Q��t n,�+ c L�� , �t - �3�y a� <br /> �A�r �Q� C°-�'�'"��'-� 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 ail applicable codes and standards. <br /> Contractors Name(printed)�/l�t rt�S ��• ��'�-�Y�-,�;('-� Date������-�a/ y <br /> Signatur <br />