Form ID

Publication date

Location of premises

Certificate

Rear Addition & Renovation & Front Addition to Garage

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Mr. & Mrs. Polistuk
Address of Owner
11 Klaimen Court
Name of Contractor
Diamond Building Dev. Ltd.
Address of Contractor
2007 Lawrence Ave. W., Unit #27, Weston, ON M9N 3V1.
Name of Certifier
Spragge & Co. Arch.
Address of Certifier
10 Britain St., Toronto, Ont.

Identification of Premises

Lot 56, Reg’d Plan 65M-2781, Municipality of York