Form ID

Publication date

Location of premises

Certificate

Piping Replacement

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
M.T.C.C. No. 555
Address of Owner
1166 Bay Street, Toronto, ON M5S 2X8
Name of Contractor
Jermark Plumbing & Mechanical Services Ltd.
Address of Contractor
241 Bridgeland Avenue, Toronto, ON M6A 1Y7
Name of Certifier
Construction Control Inc.
Address of Certifier
70 Haist Avenue, Woodbridge, ON L4L 5V4

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

1166 Bay Street, Toronto, Ontario M5S 2X8