Form ID

Publication date

Location of premises

Certificate

Underground Servicing - North Park Subdivision Phase 2

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
John & Elise Boersma
Address of Owner
6 Elmridge Dr., Guelph, ON N1G 5A7
Name of Contractor
Omega Contractors Limited
Address of Contractor
4104 Breck Ave., London, ON N6L 1B5
Name of Certifier
Cyril J. Demeyere Limited
Address of Certifier
261 Broadway, Box 606, Tillsonburg, ON N4G 4J1

Identification of Premises

Parts 1 to 6 Ref. Plan 41R-7076 Reg. Plan 41M-171