Form ID

Publication date

Location of premises

Certificate

Building Addition

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
1340419 Ontario Inc.
Address of Owner
120 McBrine Drive, Kitchener ON
Name of Contractor
Melloul-Blamey Construction Inc.
Address of Contractor
700 Rupert Street, Unit A, Waterloo, Ont. N2V 2B5
Name of Contractor
Contractor
Address of Contractor
as above
Name of Certifier
Contractor
Address of Certifier
as above

Identification of Premises

1060 Trillium Drive, Kitchener, ON