Fillable Project Address (Street Number, Street Name, Suite/Unit Number,

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Project Address (Street Number, Street Name, Suite/Unit Number,

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  • 34 check-boxes
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Country of origin: CANADA
File type: PDF

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14-0072 2017-07
1 of 3
Application
Commitment to General Reviews
Folder No.
District Offices
Toronto and East York
North York
Scarborough
Etobicoke York
PART A – To be Completed by Owner
Project Address (Street Number, Street Name, Suite/Unit Number, City/Town, Postal Code)
Owner's First Name
Last Name
Street Number
Street Name
Postal Code
Telephone Number
Mobile Number
Fax Number
Signature
Print Name
Date (yyyy-mm-dd)
Co-ordinator of the work of all consultants
Street Number Street Name
Postal Code
Telephone Number
Mobile Number
Fax Number
The personal information on this form is collected under the City of Toronto Act, S.O. 2006, Chapter 11, Schedule A, s. 136 (c)
and the Building Code Act, S.O. 1992, Chapter 23, s. 8(1) and (2). The information collected will be used for processing
applications and creating aggregate statistical reports. Questions about this collection may be referred to the Customer Service
Manager in the appropriate district. Toronto East York District, 100 Queen Street West, Ground Floor, West Tower, Toronto M5H
2N2; North York District, 5100 Yonge Street, 1st Floor, Toronto M2N 5W4; Etobicoke York District, 2 Civic Centre Court, 1st Floor,
Toronto M9C 2Y2; Scarborough District, 150 Borough Drive, 3rd Floor, Toronto M1P 4N7 or by telephone at (416) 397-5330.
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14-0072 2017-07
2 of 3
Application
Commitment to General Reviews
PART B – To be completed by Consultants
First Consultant Information and Declaration
Architectural
Structural
Mechanical
Electrical
Site Services
Other:
First Name Last Name
Firm
Street Number
Street Name
Postal Code
Telephone Number
Mobile Number
Fax Number
Signature
Print Name
Date (yyyy-mm-dd)
Second Consultant Information and Declaration (if applicable)
Third Consultant Information and Declaration (if applicable)
Architectural
Structural
Mechanical
Electrical
Site Services
Other:
First Name Last Name
Firm
Street Number
Street Name
Postal Code
Telephone Number
Mobile Number
Fax Number
Signature
Print Name
Date (yyyy-mm-dd)
Architectural
Structural
Mechanical
Electrical
Site Services
Other:
First Name Last Name
Firm
Street Number
Street Name
Postal Code
Telephone Number
Mobile Number
Fax Number
Signature
Print Name
Date (yyyy-mm-dd)
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signature
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14-0072 2017-07
3 of 3
Application
Commitment to General Reviews
Fourth Consultant Information and Declaration (if applicable)
Fifth Consultant Information and Declaration (if applicable)
Sixth Consultant Information and Declaration (if applicable)
Architectural
Structural
Mechanical
Electrical
Site Services
Other:
First Name Last Name
Firm
Street Number
Street Name
Postal Code
Telephone Number
Mobile Number
Fax Number
Signature
Print Name
Date (yyyy-mm-dd)
Architectural
Structural
Mechanical
Electrical
Site Services
Other:
First Name Last Name
Firm
Street Number
Street Name
Postal Code
Telephone Number
Mobile Number
Fax Number
Signature
Print Name
Date (yyyy-mm-dd)
Architectural
Structural
Mechanical
Electrical
Site Services
Other:
First Name Last Name
Firm
Street Number
Street Name
Postal Code
Telephone Number
Mobile Number
Fax Number
Signature
Print Name
Date (yyyy-mm-dd)
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Project Address (Street Number, Street Name, SuiteUnit Number,

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Completed 22 January 2021

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