Form ID

Publication date

Location of premises

Certificate

Single family detached dwelling

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
MAKI, Shirley Louise
Address of Owner
325 Dewe Ave., Thunder Bay, ON P7A 2G2
Name of Contractor
Self - same as owner
Address of Contractor
As owner

Identification of Premises

Lot 34, Plan 515, City of Thunder Bay, District of Thunder Bay