Laserfiche WebLink
. <br /> • <br /> ,.��. <br /> Duct Seal Affidavit <br /> � �. <br /> Company � � �1.t,�? ���` � License#� �(> ��3 � <br /> Address ��'�� � , p;,� �`� Permit# l �� 1 � <br /> 3 5 u �2 <br /> �r <br /> I '�� affiant, hereby affirm that I am the duly licensed contractor of record for the above <br /> refer ced permit, hat 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 /> . � <br /> t <br /> Contractors Name(printed) !��(� �'pa� � � <br /> Signature <br />