Form ID

Publication date

Location of premises

Certificate

The provision of: Roofing, Waterproofing and Traffic Topping

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Signatures on Bloor Limited
Address of Owner
199 Adesso Drive, Concord, ON L4K 3C4
Name of Contractor
C & A Tedesco Waterproofing Inc.
Address of Contractor
37 Mitchell Avenue, Toronto, ON M6J 1C1

Identification of Premises

Part 1 & 2, Plan 66R-18095, Park Lot 8, Concession 1, from the Bay