Form ID

Publication date

Location of premises

Certificate

Rear One Storey Addition and Deck

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Jonathan Kahn and Anne Irwin
Address of Owner
21 Delavan Avenue, Toronto, Ontario, M5P 1T2
Name of Contractor
G. Pederson & Associates
Address of Contractor
57 Raleigh Ave., Scarborough, ON M1K 1A1
Name of Certifier
Roth Knibb Architects Inc.
Address of Certifier
886 Queen Street West, Toronto, Ontario, M6J 1G3

Identification of Premises

Part of Lot 51 & 52 Registered Plan M408 - (Land Titles Office Toronto Village of Forest Hill)