Form ID

Publication date

Location of premises

Certificate

New Office and Warehouse

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Provider Warehousing Inc.
Address of Owner
3184 Alps Road, R.R. #1, Ayr, ON
Name of Contractor
Granval Construction Inc.
Address of Contractor
1425 Bishop St., Cambridge ON N1R 6J9.
Name of Certifier
Bruce Schnarr, P.Eng.
Address of Certifier
1425 Bishop St., Cambridge, ON N1R 6J9

Identification of Premises

Lot No. 36, Conc 10 Reg. Plan 67 N. Dumfries Township, Regional Municipality of Waterloo