Form ID

Publication date

Location of premises

Certificate

Surface Works 2004, Stantec Contract No. 603-02032-121

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Norrich West Inc.
Address of Owner
RR #22, 6783 Wellington Road #34, Cambridge ON N3C 2V4
Name of Contractor
Capital Paving Inc.
Address of Contractor
P.O. Box 815, Guelph, ON N1H 6L8
Name of Certifier
Stantec Consulting Ltd.
Address of Certifier
49 Frederick Street, Kitchener, ON N2H 6M7

Identification of Premises

Registered Plan 58M-269