Form ID

Publication date

Location of premises

Certificate

Leasehold Improvements

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Workplace Safety & Insurance Board
Address of Owner
200 Front St. W., Toronto, ON M5V 3J1
Name of Contractor
Oscar Construction Company Limited.
Address of Contractor
825 Tecumseh Rd. W., Windsor, ON N8X 1H4.
Name of Certifier
Workplace Safety & Insurance Board
Address of Certifier
200 Front Street W., Toronto, ON M5V 3J1

Identification of Premises

Plan 1328 Lts 154 to 159, Lts 161 to 176, Part Lot 153, Part Lot 177, Part Block O, RP 12R10387, Pts 4 to 6, Pt Clsd St. (Pelissier).