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.'Sz._'.�.[�;,i i <br /> 'va--� 'Sr:..: <br /> :.:;�� { <br /> 4 <br /> Duct Seal Affidavit <br /> Company �✓A�/ /'/�� A/C License# C�CO/O��/J`� <br /> Address �03 0 OS TEEriJ 12� Permit# �S� �� <br /> NCG� Po�r R�ct�Ey , FL <br /> , <br /> 3�/6s 3 <br /> I G/lEG E,OG.�A/1t�S ,affiant,hereby affirm that i am the duly licensed contrador of record for the above <br /> referenced permii,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 appiicable codes and standards. <br /> Contractors Name(printed) �AV/'� /�vTcN/ivS Date 3" 3���� <br /> Signature � <br /> ���,,,,t <br /> � <br />