Form ID

Publication date

Location of premises

Certificate

Completion of New Chalet

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Geordie Dalglish
Address of Owner
65 Glen Edyth Drive, Toronto, ON
Name of Contractor
Patrick B. Coulter & Associates Inc.
Address of Contractor
20 High Street, Unit C, Collingwood, ON
Name of Certifier
Geordie Dalglish
Address of Certifier
65 Glen Edyth Drive, Toronto, ON

Identification of Premises

Part Lot 8, Concession 4, Town of the Blue Mountains, Ontario