Form ID

Publication date

Location of premises

Certificate

Lighting Retrofit

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
The University of Western Ontario
Address of Owner
1151 Richmond St. N., London, ON N6A 3K7
Name of Contractor
ABC Electric Inc.
Address of Contractor
11859 Cowal Road R.R. 1, Iona Station, ON N0L 1P0
Name of Certifier
Mike Wolowich
Address of Certifier
1151 Richmond St. N., London, ON N6A 3K7

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

1151 Richmond St. N., London, ON N6A 3K7