Form ID

Publication date

Location of premises

Certificate

Fanshawe Wells Service Upgrade

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
City of London, Environmental Services Department
Address of Owner
PO Box 5035, London, ON N6A 4L9
Name of Contractor
Lovett Electric Limited.
Address of Contractor
320 Neptune Crescent, Unit 6, London, ON N6M 1A1
Name of Certifier
Dillon Consulting Limited per Graydon Knights, P.Eng.
Address of Certifier
PO Box 426, London, ON N6A 4W7

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

Corporation of the City of London