Form ID

Publication date

Location of premises

Certificate

Interior Fit-Up of LCBO Store #153, 16 Seacliffe Drive, Leamingtion, ON N8H 2L2

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Liquor Control Board of Ontario
Address of Owner
55 Lakeshore Blvd. East, 2nd Floor, Toronto, ON M5E 1A4
Name of Contractor
Piroli Construction
Address of Contractor
3850 Dougall Ave., Unit 10, Windsor, ON N9G 1X2
Name of Certifier
Radek Bronny M. Eng.Arch.OAA
Address of Certifier
Forum Architect Co. 90 Applefield Drive, Toronto, ON M1P 3Y2

Office to which claim for lien must be given to preserve lien

Liquor Control Board of Ontario, 55 Lakeshore Blvd. East, 2nd Floor, Toronto, ON M5E 1A4