Form ID

Publication date

Location of premises

Certificate

Emergency Cut-In Valve

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
City of Greatery Sudbury
Address of Owner
Engineering Services Division, Third Floor, Tom Davies Squar
Name of Contractor
R.M. Belanger Limited
Address of Contractor
100 Radisson Avenue, Box 160, Chelmsford, ON P0M 1L0
Name of Certifier
S.A. Kirchhefer Limited
Address of Certifier
364 Lloyd Street, Sudbury, ON P3P 1P3

Identification of Premises

Part of Lot 6 & 7, Concession 4 & 5, Township of Waters, City of Greatery Sudbury, District of Sudbury