Form ID

Publication date

Location of premises

Certificate

Premise Isolation - Domestic Wate System on Elgin Drive at Western Road and on Huron drive at Huron Street

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
The Board of Governors, The University of Western Ontario
Address of Owner
1151 Richmond Street, London Ontario N6A 5B8
Name of Contractor
Mycon Construction 668950 Ontario Inc.
Address of Contractor
1615 North Routledge Park, Unit 9, London, ON N6H 5L6
Name of Certifier
Spriet Associates London Limited
Address of Certifier
155 York Street, London Ontario N6A 1A8

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

The Board of Governors, The University of Western Ontario