Form ID

Publication date

Location of premises

Certificate

Columbia Forest II East/West Contract 04-K696-1

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Activa Holdings Inc. and 868361 Ontario Ltd.
Address of Owner
735 Bridge Street West, Waterloo, ON N2V 2H1
Name of Contractor
Miracle Construction Ltd.
Address of Contractor
1042 Parkinson Rd., Woodstock, ON N4S 7W3
Name of Certifier
Planning & Engineering Initiatives Ltd.
Address of Certifier
379 Queen Street South, Kitchener, ON N2G 1W6

Identification of Premises

30T-97021 and 30T-97022, Part of Lot 44, GCT, City of Waterloo, Metz and Lorentz Ltd. File Number W4-318-17 August 7, 2004