Form ID

Publication date

Location of premises

Certificate

Completion of new residence

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
John Higginbotham & Wendy Frame
Address of Owner
29 Riverdale Avenue, Toronto, ON
Name of Contractor
Patrick B. Coulter & Associates Inc.
Address of Contractor
20 High St., Unit C, Collingwood, ON
Name of Certifier
John Higginbotham
Address of Certifier
29 Riverdale Avenue, Toronto, ON

Identification of Premises

Part 1 Plan 16R-6793 Plan 368 Town of the Blue Mountains, Ontario