Form ID

Publication date

Location of premises

Certificate

Dental Clinic

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Low Health Facility Ltd.
Address of Owner
1 Centennial Dr., Tavistock, ON
Name of Contractor
Mikal-Calladan Construction
Address of Contractor
31 Durward Place, Waterloo N2V 2C1.
Name of Certifier
Grant Somerville Design Inc.
Address of Certifier
158 Hess Street S., Hamilton, ON

Identification of Premises

Part 1 and 2, Plan 41R-5727.