Form ID

Publication date

Location of premises

Certificate

Interiors and Construction of a Dental Clinic.

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Dr. Zbigniew Pona.
Address of Owner
1390 Walker Rd., Windsor, ON.
Name of Contractor
Matrix Contractors.
Address of Contractor
850 Talbot Rd., (Hwy. #3) Windsor, ON N9H 1A3.
Name of Certifier
Dr. Zbigniew Pona.
Address of Certifier
1390 Walker Rd., Windsor, ON N8Y 4T9

Identification of Premises

Con 1, Pt Lot 96 RP 12R2540 Pt. of Part 9.