Form ID

Publication date

Location of premises

Certificate

Addition to Industrial Building

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Ms. Michelle Brown
Address of Owner
6860 Pacific Circle Mississauga, ON
Name of Contractor
H. Dixon Construction
Address of Contractor
1771 Avenue Road, P.O. Box 54612, North York, ON M5M 4N5

Identification of Premises

Block 11, Plan 43M-475