Form ID

Publication date

Location of premises

Certificate

Interior Renovation

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Loblaw Properties Limited
Address of Owner
3563 Lakeshore Blvd West, Toronto, ON M8W 1P4
Name of Contractor
B.M.I. Construction Co. Limited
Address of Contractor
1058 Copperstone Dr., Unit 1, Pickering, ON L1W 3V3
Name of Certifier
Craig Kelsey, Loblaw Properties Limited
Address of Certifier
As above

Identification of Premises

Block 1, Plan M-1965