Form ID

Publication date

Location of premises

Certificate

Interior alteration

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Dawn Flowers
Address of Owner
901 Harwood Ave N, Ajax, ON L1Z 0K4
Name of Contractor
Dama Construction
Address of Contractor
901 Harwood Ave N, Ajax, ON L1Z 0K4
Name of Certifier
Dawn Flowers
Address of Certifier
Same as Owner

Identification of Premises

Fuzz Wax Bar 901 Harwood Ave N, Ajax, Ont L1Z 0K4