Form ID

Publication date

Location of premises

Certificate

to provide all labour, materials, tools, equipment and supervision required to complete the fire separation upgrade on first floor

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Standard Life Assurance Company c/o Yarmon Poyntz Management
Address of Owner
8 King St. E., Suite 107, Toronto, ON M5C 1B5
Name of Contractor
Entasis Inc.
Address of Contractor
34 Jim Ashton Street, London, ON N5V 2A9
Name of Certifier
Malhotra Nicholson Architects Inc.
Address of Certifier
201-256 Pall Mall St., London, ON N6A 5P6

Identification of Premises

Plan Nil Pt Lot 6 S/S Queens 110 x 117.13 x 117.16 x 109.89 12878.37SF 110.00FR