Form ID

Publication date

Location of premises

Certificate

Costco Wholesale Building

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Costco Wholesale
Address of Owner
999 Lake Drive, Issaquah,WA 98027
Name of Contractor
Ledcor Construction Limited
Address of Contractor
300-3930 Nashua Drive, Mississauga, ON L4V 1M5
Name of Certifier
MulvannyG2
Address of Certifier
110 112th Avenue NE, Suite 500, Bellevue WA 98004

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

Costco Wholesale, 999 Lake Drive, Issaquah, WA 98027