Form ID

Publication date

Location of premises

Certificate

Masonry Work

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Upper Grand District School Board
Address of Owner
500 Victoria Rd. North
Name of Contractor
Bender Construction Ltd.
Address of Contractor
Division of 1138483 Ontario Ltd., 755 Waterloo Street, Mount
Name of Certifier
J.S. Watson & Associates Ltd.
Address of Certifier
50 Acadia Ave., Suite 207, Markham, ON L3R 0B3

Identification of Premises

Part of Division #1, Lot #33, Concession #1, Township of Wellington North (Formerly the Township of Egremont)