Form ID

Publication date

Location of premises

Certificate

Medical Clinic

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
1520922 Ontario Inc.
Address of Owner
33 Highland Dr., R.R. #4, Brantford, ON N3T 5L7
Name of Contractor
Ulmer Construction Incorporated
Address of Contractor
330-B Trillium Drive, Kitchener, ON N2E 3J2
Name of Certifier
Will Bokma - Sze Straka Engineers
Address of Certifier
105 Baffin Place, Unit 1, Waterloo, ON N2V 2C1

Identification of Premises

Lot 28, Plan 2M-1857