Form ID

Publication date

Location of premises

Certificate

Travel/Fall Arrest Cable Systems

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Region of Peel
Address of Owner
10 Peel Centre Dr., Brampton, ON L6T 4B9
Name of Contractor
Tower Restoration Ltd.
Address of Contractor
37 Chauncey Ave., Etobicoke, ON M8Z 2Z2
Name of Certifier
CSAI, Canadian Safety Anchor Inspections Inc.
Address of Certifier
11 Stanley Court, Unit 11, Whitby, ON L1N 8P9

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

10 Peel Centre Dr., Brampton, ON L6T 4B9