Form ID

Publication date

Location of premises

Certificate

Hazelwood Water Storage Tank Drainage Outlet and Servicing

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
The Corporation of the City of Thunder Bay
Address of Owner
Victoriaville Civic Center, PO Box 800, 111 Syndicate Ave. S
Name of Contractor
Potvin-Scott Contractors Ltd.
Address of Contractor
820 Montreal St., Thunder Bay, ON P7E 6P8
Name of Certifier
Engineering Northwest Ltd.
Address of Certifier
200 S. Syndicate Avenue, Thunder Bay, ON P7E 1C9

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

The Corporation of the City of Thunder Bay, Victoriaville Civic Center, PO Box 800, 111 Syndicate Ave. S., Thunder Bay, ON P7C 5K4