Form ID

Publication date

Location of premises

Certificate

to provide all labour, materials, tools, equipment and supervision required to complete the one storey multi-tenant restaurant building and all site services including water system and sanitary treatment system

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
12 Flags Highway Services
Address of Owner
2690 Brookdale Ave., Cornwall, ON
Name of Contractor
Robert J. Bourgon & Associates Ltd.
Address of Contractor
700 Kerr Street, Suite 600, Cornwall, ON
Name of Certifier
HCA Architecture Incorporated Architects
Address of Certifier
191 Eglinton Ave. East, Toronto, ON

Identification of Premises

Part of Lot 13, Concession 3 R.P. 52R-3275, City of Cornwall, County of Stormont