Form ID

Publication date

Location of premises

Certificate

Watermain Installation.

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
The City of Toronto.
Address of Owner
399 The West Mall, Etobicoke, ON M9C 2Y2.
Name of Contractor
Sanan Construction.
Address of Contractor
241 Applewood Cres., Unit #10, Concord, Ont. L4K 4E6.
Name of Certifier
T. Ellerbusch, P.Eng., Manager, Design & Const.
Address of Certifier
399 The West Mall, Etobicoke, ON M9C 2Y2.

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

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