Form ID

Publication date

Location of premises

Certificate

Williams Coffee Pub.

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Williams Coffee Pub Inc.
Address of Owner
195 King Street West, Kitchener, ON N2G 1B1.
Name of Contractor
Verly Construction Group Inc.
Address of Contractor
1321 Matheson Blvd. E., Mississauga, ON L4W 1R1.
Name of Certifier
G.L. Fobert & Associates.
Address of Certifier
209 Sand Road, Holland Landing, ON L9N 1K1.

Identification of Premises

Part Lot 11, Concession 3, City of Etobicoke.