Form ID

Publication date

Location of premises

Certificate

Fifth Avenue Booster Pumping Station and Curtis Street Watermain

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Municipality of Sioux Lookout
Address of Owner
P.O. Box 158, 25 Fifth Avenue, Sioux Lookout, ON P8T 1A4
Name of Contractor
Buus Construction Ltd.
Address of Contractor
PO Box 272, Selkirk, Manitoba R1A 2B2
Name of Certifier
Engineering Northwest Ltd.
Address of Certifier
200 S. Syndicate Ave., Thunder Bay, ON P7E 1C9

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

Municipality of Sioux Lookout, P.O. Box 158, 25 Fifth Avenue, Sioux Lookout, ON P8T 1A4