Form ID

Publication date

Location of premises

Certificate

Construction of an addition to an existing building

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
H.D. Palmer
Address of Owner
1 Silver Street, St. Thomas, ON
Name of Contractor
Agri-Urban Buildings Inc.
Address of Contractor
1123 North Street S., Dresden, ON N0P 1M0.
Name of Certifier
Smylie & Crow Associates Inc.
Address of Certifier
1 Wortley Road, London, ON N6C 3N7

Identification of Premises

Part Lot 7, Plan 11R-6851