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.�R, �_'t <br /> �yf�l'a}� ♦ <br /> h ��T <br /> 'Jti1'�' l�,� <br /> I� I II, I <br /> Duct Seal Affidavit <br /> .Company�.Y)Ll�"�11(Ifl `dtn'��C� �Cl��"�C License# �. � � I�j3S / 1 <br /> ��Address �$ 33� ,�1 'ZuC]c �`�{t�ti�� Permit#�J l � � <br /> Z�hU� ����S <br /> I �0 ti'(1L1S 1�lI(��1Q,Q�aftiant,hereby affirm that 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 dud sealing at the above <br /> referenced address has been completed in accordance w th all applicable codes and standards. <br /> Contractors Name(printed) � h Date `7/9��y <br /> Signature <br />