Form ID

Publication date

Location of premises

Certificate

New building construction

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Country Roads Community Health Centre
Address of Owner
4319 Cove Road, Portland, ON K0G 1V0
Name of Contractor
Guy Saumure and Sons Construction Ltd.
Address of Contractor
88 Cornelia Street W., Smiths Falls, ON K7A 5K9
Name of Certifier
Larry Gaines Architect
Address of Certifier
137 Bridge St., Carleton Place, ON K7C 3P1

Identification of Premises

Part of Lot 20, Concession 2, Geographic Towship of Bastard, Township of Rideau Lakes, County of Leeds