Form ID

Publication date

Location of premises

Certificate

Vehicle Garage

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
K&K Auto Services
Address of Owner
376 Jones Rd., Stoney Creek, ON
Name of Contractor
Braemar Building Systems
Address of Contractor
R.R. #1, York, Ontario
Name of Certifier
Ori Ciacchi
Address of Certifier
163 Kenilworth Ave. N., Hamilton, ON

Identification of Premises

Part Lot 12, Conc. 1