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� <br /> ° "�� �' 4-=��'.::�.�t N iE C�A�:rv <br /> ., <br /> ��: � .�et�.: .�.�C +r�c. <br /> -�-----_.�_�..._. <br /> ==�.� ,.�.��332-����: <br /> nUCT SEAL AFFIDAVIT <br /> Joh Namc �U� �� �� � � n-- License # CA�'0�3948 <br /> Addi-ess �y�� /6 T � S T Permit# <br /> ��� �y/ � �i� �L <br /> �3syZ <br /> Ph��i�e _ 7� � �- / y y� <br /> 1- /L 5. �, '�v � �.q /�•'L . affiant_ herby af�fiirm that 1 am tl��e �1ull�� lictnsr:cl <br /> contractc�r of record [or the above refierenced permit, that all of the forgoin� informatiun i� true <br /> and accLirate. and that the duct �ealing at the ah��ve i-eferenced address has l-�een c-om�leted in <br /> acc��T-dance with all appliance c��des and standard� with: <br /> �Iastic 1�apc �I�astic <br /> C'ontractor�s '�lame (printed 1 ����/%�v �'S'��-- t�ate� �� � �� <br /> _. _ __.. <br /> �i�nature �� <br />