Form ID

Publication date

Location of premises

Certificate

Construction of new residence

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Dana Sakus
Address of Owner
Lot 12, 13, 14., Plan 810 , Town of Wasaga Beach
Name of Contractor
Patrick B. Coulter & Associates Inc.
Address of Contractor
2 Mountain Road, Unit 11, Collingwood, ON L9Y 3Z8.
Name of Certifier
Dana Sakus
Address of Certifier
1696 Shorelane, Wasaga Beach, Ontario

Identification of Premises

Lot 12, 13, 14., Plan 810 , Town of Wasaga Beach