Form ID

Publication date

Location of premises

Certificate

Underground Services and Roadwork

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Richard and Linda Bell
Address of Owner
2500 Hwy 60E, RR#4, Huntsville, ON P1H 2J6
Name of Contractor
Malcolm Excavating Ltd.
Address of Contractor
RR#1, P.O. Box 179, Burgessville, ON N0J 1C0
Name of Certifier
L.A. Girard Engineering (Ontario) Ltd.
Address of Certifier
212 Main St. W., Otterville, ON N0J 1R0

Identification of Premises

Part Lot 21, Concession 9 (South Norwich), Township of Norwich and Lots 7-12 Inclusive, East of Water St., Lot 4 and 4 3/4 South of Son's St. Part Lot 3 & Lots 4 and 5, North of Temperance St. and Part of Temperance, Son's & Water St, Registered Plan 32, Township fo Norwich