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� � '� , � PROPANE GAS <br /> � � j AND A/C i►vc. <br /> �7cE: ��BB 8 i 3-782-5013 <br /> -�-�-�1 \1i�n R��ad � %����I���t�hill;. l��l. ;;j�l <br /> UUCT SEAL AFF[DAVIT <br /> Job Name_�� �1e � <br /> - -�- --�---°�- _ _._ _�/l� License # CACO�>y4x <br /> Address J� 1 � <br /> _ � _oZ� � t�oSSv,�-� /J�v � Permit # � ���p � <br /> 7- � , �l� � ---__ --- __ <br /> ----- --- -- <br /> � _ (��_. ��s��- <br /> _ ___--_-----___ � - <br /> Phone � � 3 `� �8�- SO C j <br /> I° � . � <br /> ���� __ !�!`�!�____, af�tiant_ herby aftirrn that I am th� dull � licensed <br /> contractor of re�orcl for the above rcterenced permit, that all of the forgoing information is true <br /> and accurate, and that tlie duct scaling at the above referenced address has been completed in <br /> accordance with all appliance codes and standai-ds with: <br /> �astic �I'ape �stic <br /> Contractor's Name (�rinted) ,�Af/2 � ��jL��,��,�' �`,y,��� � p�te. <br /> Signatur <br />