Form ID

Publication date

Location of premises

Certificate

Emergency Generator Installation

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Black Willow Condominium
Address of Owner
58 Bridgeport Rd. E., Waterloo, ON N2J 4H5
Name of Contractor
Harold Stecho Electric Ltd.
Address of Contractor
100 Rankin Street Unit 1, Waterloo, ON N2V 1V9
Name of Certifier
Mr. Leon Demaiter, P. Eng., Demaiter Engineering Inc.
Address of Certifier
421 King St. N., Waterloo, ON N2J 4E4

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

Black Willow Condominium