Form ID

Publication date

Location of premises

Certificate

Roof 1.0, 1.1, 2.0 and 3.0 Replacement

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
BLJC
Address of Owner
7400 Birchmount Rd., P.O. Box 4800, Markham, ON L3R 4E6
Name of Contractor
Provincial Industrial Roofing and Sheet Metal Co. Ltd.
Address of Contractor
176 Creditstone Rd., Unit 10, Concord, ON L4K 1P2
Name of Certifier
Halsall Associates Limited
Address of Certifier
2300 Yonge St., Suite 2300, Box 2385, Toronto, ON M4P 1E4

Identification of Premises

Part Lots 11 & 12, Concession 4 Southern Division, Fronting the Lake also known as Concession 4 Lt. Colonel Smith’s Tract