Form ID

Publication date

Location of premises

Certificate

Addition and Alterations

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Mr. Don Polyschuk
Address of Owner
1652 The Queensway, Toronto, ON M8Z 1T8
Name of Contractor
Mr. Mark Fallaise, Murmar Construction Ltd.
Address of Contractor
184 St. David St., Lindsay, ON K9V 4R9

Identification of Premises

1652 The Queensway, Toronto, Ontario M8Z 1T8
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