Form ID

Publication date

Location of premises

Certificate

Site Package A - Clearing & Grubbing.

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Thunder Bay Regional Hospital.
Address of Owner
325 S. Archibald St., Thunder Bay, ON P7E 1G6.
Name of Contractor
Nadin Contracting
Address of Contractor
R.R. #17 - 195 Vimy St., Thunder Bay, ON P7B 6C2.
Name of Certifier
C.E. Mickelson Associates Limited.
Address of Certifier
846 Macdonell St., Thunder Bay, ON P7B 5J1

Identification of Premises

Parts 1 & 5 on Reference Plan 55R-11213.