Form ID

Publication date

Location of premises

Certificate

Completion of new residence

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Fonda Roth
Address of Owner
144 Bartlett Blvd., Town of Collingwood, Ontario
Name of Contractor
Patrick B. Coulter & Associates Inc.
Address of Contractor
20 High St., Unit C, Collingwood, ON
Name of Certifier
Fonda Roth
Address of Certifier
144 Bartlett Blvd., Town of Collingwood, Ontario

Identification of Premises

144 Bartlett Blvd., Plan 1629, Lot 33, Town of Collingwood, ON