Form ID

Publication date

Location of premises

Certificate

To Construct a Two Storey Addition

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Jane McIntosh.
Address of Owner
1 Birch Ave.
Name of Contractor
Cada Construction
Address of Contractor
18 Western Avenue, Ottawa, ON K1Y 0L4
Name of Certifier
Temprano Young and Ward Architects.
Address of Certifier
280 Metcalfe St., Ste. 203, Ottawa, Ontario.

Identification of Premises

1 Birch Ave., Ottawa, Ont.

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

Ottawa Land Registry Office, City of Ottawa.