Form ID

Publication date

Location of premises

Certificate

Building a Detached 2 Storey Dwelling

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Jiangshui Shi and Yuan Gao
Address of Owner
9737 Bathurst Street, Richmond Hill
Name of Contractor
Jiangshui Shi and Yuan Gao
Address of Contractor
9737 Bathurst Street, Richmond Hill
Name of Certifier
Jiangshui Shi and Yuan Gao
Address of Certifier
c/o Jayson B. Schwarz (attention: Vicky Tan) - 1984 Yonge Street, Toronto, M4S 1Z7

Identification of Premises

Part Lots 110 and 111, Plan 2027, Town of Richmond Hill

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

Jayson B. Schwarz (attention