Form ID

Publication date

Location of premises

Certificate

TSSA Fuel system improvements

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Bell c/o Brookfield GIS
Address of Owner
479 Clarence St. London, ON
Name of Contractor
Patrick Mechanical Ltd.
Address of Contractor
119 Magill St., Lively, ON P3Y 1K6
Name of Certifier
Justin Campbell, P. Eng.
Address of Certifier
421 Bay St., Suite 507, Saulte Ste. Marie, ON P6A 1X3

Identification of Premises

479 Clarence St. London, ON