Form ID

Publication date

Location of premises

Certificate

Installation of Residential/Commercial/Industrial Water, Sanitary & Storm Sewer Service Connections.

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
The Corporation of the City of Vaughan.
Address of Owner
2141 Major MacKenzie Drive, Vaughan, Ont. L6A 1T1.
Name of Contractor
Direct Underground Inc.
Address of Contractor
11244 Keele St., Unit #4, PO Box 636, Maple, ON L6A 1S5
Name of Certifier
Robb Brown.
Address of Certifier
Same as Owner.

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

City of Vaughan, Clerks Department (same address as above).