Form ID

Publication date

Location of premises

Certificate

Permanent Repairs to Utility Cuts (Ward No’s 8, 9, 10, 15)

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
City of Toronto - North District
Address of Owner
Works & Emergency Services, Transportation Services, 510
Name of Contractor
Maple-Crete Inc.
Address of Contractor
220 Basaltic Rd., Concord, ON L4K 1G6
Name of Certifier
Trevor Tenn Manager, Road Operations, North District
Address of Certifier
5100 Yonge Street, North York, ON M2N 5V7

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

City Clerk Metro Hall, 55 John Street, 7th Fl., Toronto, ON M5V 3C6