Form ID

Publication date

Location of premises

Certificate

Dining Room Addition

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Participation House
Address of Owner
10 Bell Lane
Name of Contractor
Abcott Construction Ltd.
Address of Contractor
124 Garden Ave., Brantford, ON

Identification of Premises

Pt Clench Tract Part 2 Plan 2R5227