Form ID

Publication date

Location of premises

Certificate

Interior Renovations

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Loblaws Properties
Address of Owner
3563 Lakeshore Blvd., Etobicoke, ON
Name of Contractor
B.M.I. Construction
Address of Contractor
1058 Copperstone Dr., Unit 1, Pickering, ON L1W 3V3
Name of Certifier
Craig Kelsey
Address of Certifier
3563 Lakeshore Blvd. Etobicoke, ON

Identification of Premises

Part of Lot 4 Conc C Parts 1, 2, 3, 4, 6, 10 33R-3130