Form ID

Publication date

Location of premises

Certificate

Earthworks, Underground Servicing and Roadworks

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
2270942 Ontario Ltd.
Address of Owner
Box 63, Formosa, ON N0G 1W0
Name of Contractor
R. Russell Construction
Address of Contractor
PO Box 111, Lambeth Station, London, ON N6P 1P9
Name of Certifier
MTE Consultants Inc.
Address of Certifier
123 St. George Street, London, ON N6A 3A1

Identification of Premises

Part 1, 2, and 3 of Plan 33R-20376