Form ID

Publication date

Location of premises

Certificate

Contract # 6004961 Fire Protection Piping Modification

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
City of Toronto
Address of Owner
City Clerk Office, Metro Hall, 55 John St. 7th Floor, Toront
Name of Contractor
Bomben Plumbing & Heating Ltd.
Address of Contractor
60 St. Regis Crescent North York, ON M3J 1Z3
Name of Certifier
V. Chan
Address of Certifier
1530 Markham Road, Scarborough, ON M3J 1Z3

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

City of Toronto as identified above