Form ID

Publication date

Location of premises

Certificate

Storm and Sanitary Sewers, Watermain, Curb and Gutter, Sidewalk and Asphalt Pavement.

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
City of Kitchener
Address of Owner
200 king Street West, Kitchener, ON N2G 4G7
Name of Contractor
Steed & Evans Ltd.
Address of Contractor
300 Bridge Street East, Kitchener, ON N2K 2B7
Name of Certifier
Hans N. Gross, P., Eng.
Address of Certifier
City of Kitchener, 200 king Street West, kitchener, ON N2G 4

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

City Clerks Division, 200 King Street West, 2nd. Flr., Kitchener, ON N2G 4G7.