Form ID

Publication date

Location of premises

Certificate

AMI Attachments Addition (excluding asphalt work on site)

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
2579115 Ontario Ltd. o/a AMI Attachments
Address of Owner
1270 Gedddes Street, Hawkesville, ON
Name of Contractor
Frey Building Contractors
Address of Contractor
3435 Broadway Street, Hawkesville, ON
Name of Certifier
Tacoma Engineers Inc.
Address of Certifier
176 Speedvale Ave. West, Guelph, ON N1H 1C3

Identification of Premises

Section East Con 12 Pt Lot 2