Form ID

Publication date

Location of premises

Certificate

Site Services to base asphalt

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Sky Palace Inc.
Address of Owner
1 Rosea Court, Markham, ON L3T 2V3
Name of Contractor
Jormat Contracting
Address of Contractor
50 Chester Crescent, Port Perry, ON L9C 1K7
Name of Certifier
Al Underhill & Associates Ltd. (S.W. Mann, C.E.T.)
Address of Certifier
58 Major Mackenzie Drive E., Richmond Hill, ON L4C 1G9

Identification of Premises

Part of Lot 10, Concession 6 & Part of Block 128 R.P. 65M-2520