Form ID

Publication date

Location of premises

Certificate

Planet Fitness Interior

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Impact Fitness
Address of Owner
10315 E. Grand River Rd. Brighton, Michigan USA 48116
Name of Contractor
Petretta Construction Inc.
Address of Contractor
2504 Binder Crescent, Oldcastle, ON N0R 1L0

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

10315 E. Grand River Rd. Brighton, Michigan USA 48116