Form ID

Publication date

Location of premises

Certificate

Interior alterations

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Chuck Wagner
Address of Owner
9023 Columbine Road, Eden Prairie, MN 55347
Name of Contractor
Alex Mendoza
Address of Contractor
2609 Dunwin Drive, Mississauga, ON L5L 2N9
Name of Certifier
Lauren Smerchanski, SGH
Address of Certifier
366 Adelaide Street West, Suite 8, Toronto, ON M5V 1R9

Identification of Premises

100 Yonge Street, Suite 1702, Toronto, ON M5C 2W1