Form ID

Publication date

Location of premises

Certificate

Completion of New Chalet

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Frank Ruffolo
Address of Owner
1 Petun Drive, Town of the Blue Mountains, Ontario
Name of Contractor
Patrick B. Coulter & Associates Inc.
Address of Contractor
20 High Street, Unit C, Collingwood, ON L4Y 3J6
Name of Certifier
Frank Ruffolo
Address of Certifier
2 Birkston Place, Etobicoke, ON M9B 3W4

Identification of Premises

1 Petun Drive, Town of the Blue Mountains, Ontario