Form ID

Publication date

Location of premises


Construction of new residence

Date substantially performed:
Date certificate signed:


Name of Owner
Dr, Wayne & Marlene Pulver
Address of Owner
Lot 12, Plan 389, Thornbury, ON
Name of Contractor
Patrick B. Coulter & Associates Inc.
Address of Contractor
2 Mountain Road, Unit 11, Collingwood, ON L9Y 3Z8.
Name of Certifier
Dr. Wayne Pulver
Address of Certifier
32 Chieftain Crescent, Willowdale, ON

Identification of Premises

Lot 12, Plan 389, Thornbury, ON