Form ID

Publication date

Location of premises

Certificate

General Installation

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Upper Grand District School Board
Address of Owner
500 Victoria Rd. North
Name of Contractor
Allstar Installations
Address of Contractor
506 Birchleaf Walk, Waterloo, ON N2T 2W6
Name of Certifier
J.S. Watson & Associates Ltd.
Address of Certifier
50 Acadia Ave., Suite 207, Markham, ON L3R 0B3

Identification of Premises

Part of Division 1, Lot 33, Concession 1, Township of Wellington North, (Formerly the Township of Egremont)