Form ID

Publication date

Location of premises

Certificate

Renovation to existing Chalet

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
David Knechtel
Address of Owner
127 Happy Valley Road, Town of the Blue Mountains, Ontario
Name of Contractor
Patrick B. Coulter & Associates Inc.
Address of Contractor
2 Mountain Road, Unit 11, Collingwood, ON L9Y 3Z8.
Name of Certifier
David Knechtel
Address of Certifier
200 Optimist Park Drive, London, ON

Identification of Premises

127 Happy Valley Road, Town of the Blue Mountains, Ontario