Form ID

Publication date

Location of premises

Certificate

Concrete and Formwork

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
1077022 Ontario Limited
Address of Owner
80 Tiverton Court, Suite 300, Markham, ON L3R 0G4
Name of Contractor
Canform Structures Limited
Address of Contractor
397 Humberline Drive, Unit #1, Rexdale, ON M9W 5T5
Name of Certifier
Joe Tomasov P.Eng.
Address of Certifier
300-80 Tiverton Court, Markham, ON L3R 0G4

Identification of Premises

Part of Block 21 & 22 Plan 43M-492 Part of Lot 16, Concession 1, North of Dundas