Form ID

Publication date

Location of premises

Certificate

Addition and Renovations.

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Jim Theodorlis and Janice Hansen.
Address of Owner
612 Broadway Avenue, Toronto, Ont. M4G 2S5.
Name of Contractor
KOR Construction Ltd.
Address of Contractor
64 Minnewawa Road, Mississauga, ON L5G 1C7.
Name of Certifier
Jim Theodorlis.
Address of Certifier
612 Broadway Avenue, Toronto, Ont. M4G 2S5.

Identification of Premises

612 Broadway Avenue.