Form ID

Publication date

Location of premises

Certificate

New Construction - Single Home Dwelling

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Joe & Irene Moore
Address of Owner
2735 Vimy Ridge Road, Port Colborne
Name of Contractor
Joe Moore
Address of Contractor
2 Erin Park Drive Erin, ON

Identification of Premises

2735 Vimy Ridge Road, Port Colborne Ontario L3K 5V3