Form ID

Publication date

Location of premises

Certificate

New Custom Residential House

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Eric & Jane Borromeo
Address of Owner
101 Churchill Ave., Toronto, ON
Name of Contractor
Tyson Custom Home
Address of Contractor
356 Princess Ave. N.Y., Toronto, ON
Name of Certifier
Adam Cheng
Address of Certifier
356 Princess Ave., N.Y. Toronto, ON

Identification of Premises

Lot 54, Reg’d Plan 3163, Tor.