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',�`��F.r,�a��.�, <br /> �, t'.' <br /> Duct Seal Affidavit <br /> Company,�i rT�ch S.erv<<-eS License# �AC������� <br /> Address pU ��c.�X 1�"a-G Permit# �J ` �`� <br /> ��+1�-(R+�t U�-S , �1- 33�3� <br /> ,�»� 38'4 3 Co �U�e���, /��. <br /> Z�p��tR�+�L�s � � 3���a <br /> I 1yl r 1�C�'1 �Y�'"V�t`t5,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) �l iii(Z1„�S g� rn c �/�'�61�t Date �'7���� <br /> Signature � <br />