Form ID

Publication date

Location of premises

Certificate

Level 1 A1 Bronchoscopy Suite and Associates Scopewash Area,

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
The Ottawa Hospital
Address of Owner
1053 Carling Ave., Ottawa, ON
Name of Contractor
Pranger-Debruyn Construction Ltd.
Address of Contractor
33 Roydon Place, Suite 205, Ottawa, ON, K2E 1A3
Name of Certifier
Mill & Ross Architects Inc.
Address of Certifier
41 Empress Ave., Ottawa, ON K1R 7E9

Identification of Premises

as above