Form ID

Publication date

Location of premises

Certificate

New 2 Storey Apartment Building

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Favoured Lands Inc.
Address of Owner
R.R. #2, St. Pauls, ON
Name of Contractor
Larry Otten Contracting Inc.
Address of Contractor
103 Fairfield Drive, Stratford, ON N5A 0A7
Name of Certifier
Robert Ritz
Address of Certifier
322 Ontario Street, Stratford, ON N5A 3H8

Identification of Premises

Plan 558, Lot 59 St. Marys, Ontario