Form ID

Publication date

Location of premises

Certificate

Gas Conversion

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Bluewater District School Board
Address of Owner
351 First Avenue North, Chesley, ON N0G 1L0
Name of Contractor
Cliff’s Plumbing and Heating
Address of Contractor
640 Willoughby Street, Lucknow, ON N0G 2H0
Name of Certifier
Erdmann W. Knaack Architect
Address of Certifier
R.R. #4, Chatsworth, ON N0H 1G0

Identification of Premises

Hillcrest Central School, PO Box 280, Elora Street, Teeswater, ON N0G 2S0

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

Bluewater District School Board, 351 First Avenue North, Chesley, ON N0G 1L0