Form ID

Publication date

Location of premises

Certificate

Vinyl Window & Door Replacements

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Y.W.C.A.
Address of Owner
1770 Stenson Blvd., Peterborough, ON
Name of Contractor
Vision Glass Inc.
Address of Contractor
685 Erskine Ave., Peterborough, ON
Name of Certifier
Christopher Z. Tworkowski Architect
Address of Certifier
34 Bridge St., Lakefield, ON K0L 2H2, PO Box #541

Identification of Premises

PIN #280520150 Instrument # LT36796