Form ID

Publication date

Location of premises

Certificate

Construction of a 5,000 sq. ft. free-standing restaurant

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Kelsey’s International Inc.
Address of Owner
450 South Service Rd. W., Oakville, ON L6K 2H4
Name of Contractor
Same as owner
Address of Contractor
Same as owner
Name of Certifier
Chamberlain Construction Services Limited
Address of Certifier
5096 South Service Road, Burlington ON L7L 5H4

Identification of Premises

Lot 3 Plan 4087-York save except Part 1, Plan 8422 and Part 2 Plan 64R-13415