Form ID

Publication date

Location of premises

Certificate

Completion of New Chalet

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Laurie Hay
Address of Owner
108 Oak Court, Alta Subdivision, Town of the Blue Mountains,
Name of Contractor
Patrick B. Coulter & Associates Inc.
Address of Contractor
20 High St., Unit C, Collingwood, ON
Name of Certifier
Laurie Hay
Address of Certifier
207 Grenview Blvd., Toronto, ON

Identification of Premises

Lot 58, Plan 1127, 108 Oak Court, Alta Subdivision, Town of the Blue Mountains, Ontario