Form ID

Publication date

Location of premises

Certificate

New Refrigeration Mechancial Room

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
The Corporation of the City of London
Address of Owner
300 Dufferin Ave., London, ON N6A 4L9
Name of Contractor
Cimco Refrigeration
Address of Contractor
41 Adelaide Street North, Unit 89, London, ON N6B 3P4
Name of Certifier
Tim Wellhauser
Address of Certifier
c/o 111 Horton Street, London, ON N6A 4L9

Identification of Premises

Plan nil, Lots 13-15, North Side King Reports, Part Lot 12 North King Parts 12-15 South Dundas, Part Plan 160