Form ID

Publication date

Location of premises

Certificate

Providence Manor Aboveground Storage Tank Replacement, Project No.: JPO-399 (062084)

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Providence Care Centre (Operating as Providence Care)
Address of Owner
340 Union St., Kingston, ON K7L 5A2
Name of Contractor
Don Wilson Plumbing and Heating Ltd.
Address of Contractor
1740 Sunnyside Rd., Kingston, ON K7L 4V4
Name of Certifier
The Thompson Rosemount Group Inc.
Address of Certifier
1345 Rosemount Avenue, Cornwall, ON K6J 3E5

Identification of Premises

Providence Manor, 275 Sydenham St., Kingston, ON Lot #415420, B201, Roll Number 1011 030 130 00100 0000