Form ID

Publication date

Location of premises

Certificate

Formwork, placing, reinforcing steel & pouring concrete

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
W.S. Homes Inc.
Address of Owner
80 Tiverton Court, Suite 300
Name of Contractor
Delgant (Civil) Ltd.
Address of Contractor
9 Marconi Court, Bolton, ON L7E 1H3
Name of Certifier
Hans Kukk
Address of Certifier
80 Tiverton Court, #300

Identification of Premises

Part of Block 21, Plan 43M492, designated as Parts 3 and 4 on Plan 43R12738, in the City of Mississauga, Regional Municipality of Peel