Form ID

Publication date

Location of premises

Certificate

Renovation & Building Conversion to Professional Offices

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Perth Chiropractic Centre (Warren Hollis / Elaine Chagnon)
Address of Owner
33 Lewis Street, Perth, ON
Name of Contractor
JDA Contracting
Address of Contractor
119 Prescott St., Kemptville, ON
Name of Certifier
William Kollaard, P. Eng., Kollaard Associates Inc.
Address of Certifier
215 Sanders St., Unit 1, Box 189, Kemptville, ON K0G 1J0

Identification of Premises

Plan 8828 Lot #6, 7 Part Lot 8
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