Form ID

Publication date

Location of premises

Certificate

Tillsonburg District Memorial Hospital - Interior Alterations (to Registration, Emergency Triage, Gift/Coffee Shop and On-Call Suite)

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Tillsonburg District Memorial Hospital
Address of Owner
167 Rolph St., Tillsonburg, ON N4G 3Y9
Name of Contractor
PK Construction Inc.
Address of Contractor
131 Townline Road, Unit A, Tillsonburg, ON N4S 8X8
Name of Certifier
Brian Moeller, Principal, Stantec Architecture Ltd.
Address of Certifier
1400 Rymal Road East, Hamilton, ON L8W 3N9

Identification of Premises

167 Rolph Street, Tillsonburg, Lots 14, 15, 16, 17, 18, 19, 20, 21, 22, 23 and 24 Registered as Plan No. 500 Town of Tillsonburg County of Oxford