Form ID

Publication date

Location of premises

Certificate

Addition and Renovation.

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Suomi Koti of Thunder Bay Inc.
Address of Owner
527 County Boulevard, Thunder Bay, ON P7A 7X9.
Name of Contractor
Dominion Construction Company.
Address of Contractor
108-1205 Amber Dr., Thunder Bay, ON P7B 6M4.
Name of Certifier
GBW + Architect and Engineer Inc.
Address of Certifier
101-200 Syndicate Ave. S., Thunder Bay, ON P7E 1C9.

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

Suomi Koti of Thunder Bay Inc., 527 County Boulevard, Thunder Bay, ON P7A 7X9.