Form ID

Publication date

Location of premises

Certificate

Renovation of building and constructed, Esso Gas Station

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Sharif Majumder
Address of Owner
5645 Hwy 34, Fenelon Falls, ON K0M 1N0
Name of Contractor
Phillips Petroleum Maintenance
Address of Contractor
5645 Hwy 5, Fenelon Falls
Name of Certifier
Zoltan Engineering
Address of Certifier
4380 S Service Rd, Suite #25, Burlington, ON L7L 5Y6

Identification of Premises

5645, Hwy 35, Fenelon Falls, ON, K0M 1N0