Form ID

Publication date

Location of premises

Certificate

To provide all labour, materials, tools, equipment and supervision required to complete Pool Addition to the Sunset Inn

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Dick Davidson
Address of Owner
10 First Ave. S., Sioux Lookout, ON P8T 1A1
Name of Contractor
Nissley Construction
Address of Contractor
136 Forrest Dr., Sioux Lookout, ON
Name of Certifier
Peterson + Habib Consultants Inc.
Address of Certifier
Suite 203, 1151 Barton St., Thunder Bay, ON P7B 5N3

Identification of Premises

Pool Addition to Sunset Inn, 10 First Avenue South, Sioux Lookout, Ontario.