Form ID

Publication date

Location of premises

Certificate

Excavation and Backfill

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Heights Rental Construction Inc.
Address of Owner
51 Constellation Crt., Suite 200, Toronto, ON
Name of Contractor
Michael Bros. Excavating and Grading Ltd.
Address of Contractor
240 Toryork Dr., Weston, ON

Identification of Premises

10223-0113 (LT)