Form ID

Publication date

Location of premises

Certificate

Ramp & Laundry Service Door

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
City of Thunder Bay
Address of Owner
500 Donald St. E., Thunder Bay, ON P7C 5K4
Name of Contractor
Form & Pour Construction Limited.
Address of Contractor
413 Rainbow St., Thunder Bay, ON P7B 6K2
Name of Certifier
C.E. Mickelson Associates Limited
Address of Certifier
846 Macdonell St., Thunder Bay, ON P7B 5J1

Identification of Premises

Plan M63 Lot 230 to 253 Lot 276 to 287 and Miles St. and Walnut St. and Lane Grandview Lodge