Form ID

Publication date

Location of premises

Certificate

New Office/Warehouse Facility

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
1413176 Ontario Inc.
Address of Owner
60 Samnah Crescent, Ingersoll, ON N5C 3J7
Name of Contractor
Reid & Deleye Contractors Ltd.
Address of Contractor
P.O. Box 272, Courtland, ON N0J 1E0
Name of Certifier
POW Peterman Consulting Engineers, Division of PPA Engineering Technologies
Address of Certifier
50 Samnah Crescent, Ingersoll, ON N5C 3J7

Identification of Premises

Part of Block 3 Registered Plan 41M-129 Town of Ingersoll County of Oxford