Form ID

Publication date

Location of premises

Certificate

Completion of new residence

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Jack & Stephanie Flynn
Address of Owner
176 Bartlett Blvd., Collingwood, Ontario
Name of Contractor
Patrick B. Coulter & Associates Inc.
Address of Contractor
20 High St., Unit C, Collingwood, ON
Name of Certifier
Jack Flynn
Address of Certifier
184 Yonge Blvd., Toronto, Ontario

Identification of Premises

176 Bartlett Blvd., Collingwood, Ontario