Form ID

Publication date

Location of premises

Certificate

Office Renovation

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Electrical Safety Authority
Address of Owner
155A Matheson Blvd. W., Mississauga, ON
Name of Contractor
Ross Clair a Division of R.O.M. Contractors
Address of Contractor
25 Curity Avenue, Unit 4, East York, ON M4B 3M2.
Name of Certifier
Martin Kane
Address of Certifier
754 Cameron Ct., Mississauga, ON L5E 3B9

Identification of Premises

155A Matheson Blvd. W., Mississauga, ON