Form ID

Publication date

Location of premises

Certificate

Existing Office Interior Renovation

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Dr. Richard Zamperoni
Address of Owner
319 Worthington Street East, North Bay, ON
Name of Contractor
Llahrgon Developments Ltd.
Address of Contractor
PO Box 430 6 Main Street Suite 3, Callander, ON P0H 1H0
Name of Certifier
Clinton Hummel
Address of Certifier
123 Main Street West, North Bay, ON

Identification of Premises

Lot 285, Plan No. 10