Form ID

Publication date

Location of premises

Certificate

Construction of new residence

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Orest Muz
Address of Owner
161 Old Mosley St., Wasaga Beach, ON
Name of Contractor
Patrick B. Coulter & Associates Inc.
Address of Contractor
2 Mountain Road, Unit 11, Collingwood, ON L9Y 3Z8
Name of Certifier
Orest Muz
Address of Certifier
161 Old Mosley Street, Wasaga Beach, ON

Identification of Premises

Lot 66, 67, Plan 695, 161 Old Mosley Street, Wasaga Beach, ON