Form ID

Publication date

Location of premises

Certificate

Roof Replacement Project

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
City of Toronto
Address of Owner
100 Queen St. West, 18th Floor West Tower, Toronto, ON M5H 2N2
Name of Contractor
Applewood Roofing and Sheet Metal Ltd.
Address of Contractor
459 Garyray Drive, Toronto, M9L 1P9
Name of Certifier
REMY Consulting Engineers Ltd.
Address of Certifier
75 Westmore Drive, Toronto, ON M9V 3Y6

Identification of Premises

PIN: 21075-0296(LT)

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

100 Queen St. West, 18th Floor West Tower, Toronto, Ontario, M5H 2N2