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� '���°` �'i` <br /> ;i, a f:i :'';. <br /> • <br /> Duct Seal Affidavit <br /> Company��f 1 ECh�.3-QY'l�y C�� License tt C�e- l�j 1�.�y � R <br /> Address�C� �)(. � �^10 G Permit# i' `� �(_" � <br /> L'�'1��,5 �( - ������ <br /> ,�j� S�t 3 ���-��--- <br /> Z-1�,��15 i �� • �3���� <br /> I t r�-eC.�l S-L�r''�y ��' 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) C�1�r' 1'�� � . �c�-�y�y��, Date_/ll:;c�'�j , f � c-(� <br /> �-_ <br /> ����' <br /> Signature � • <br />