Form ID

Publication date

Location of premises

Certificate

Tenant Improvements to Suite

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Dr. Profetto / Dr. Allega
Address of Owner
980 Queenston Rd.
Name of Contractor
Lancing Construction
Address of Contractor
5-100 Lancing Drive, Hamilton, ON
Name of Certifier
David Premi
Address of Certifier
101-75 Hunter St. East

Identification of Premises

Reg Comp Plan 1424 Pt Lt 2 Pt Lot 4