Form ID

Publication date

Location of premises

Certificate

Electrical Work - Division 16

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Antelope Hills Const. Ltd.
Address of Owner
300 - 80 Tiverton Ct., Markham, ON L3R 0G4
Name of Contractor
Mayfair Electric Ltd.
Address of Contractor
601 Edgely Blvd., U 9, 10, Concord, ON L4K 4G2
Name of Certifier
Joseph Tomasov P.Eng.
Address of Certifier
300 - 80 Tiverton Court, Markham, ON L3R 0G4

Identification of Premises

Parts 3, 5 & 7, Plan 66R-18799 Block 8
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