Laserfiche WebLink
�g �`, fi <br /> W ��; �. <br /> l`�Y � lUR �� <br /> YJ <br /> - -��� "'�.r <br /> � i� �.: 'r <br /> , <br /> � <br /> .F'� <br /> Duct Sea Affidavit <br /> ���o � /C C� �'.�c��S"���5 <br /> Company �� License# <br /> Address ��7��/7f� �rY�i / �`-' Permit# / ���� <br /> s-� � � ��� ��� <br /> � �� <br /> I f * / ��`�ant,hereby affirm tha I am the duly licensed contractor of record for the above <br /> referenced permit, at all of the forgoing information i true and accurate,and that the duct sealing at the above <br /> referenced address has been completed in accordance ith all applicable codes and standards. <br /> Contractors Name(printed) �- ` "�` �� O ✓1 _ Date A ' �` • / 7 <br /> � <br /> Signature <br />