Form ID

Publication date

Location of premises

Certificate

Plumbing Installations

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
1750248 Ontario Inc.
Address of Owner
330 Hwy #7 East, PH3, Richmond Hill, ON L4B 3P8
Name of Contractor
Aquasafe Mechanical
Address of Contractor
6921 Steeles Ave. W., Unit 16, Etobicoke, ON M9W 6T5
Name of Certifier
Life Construction Inc.
Address of Certifier
330 Hwy #7 East, PH5, Richmond Hill, ON L4B 3P8

Identification of Premises

Parts 33 and 34 on registered plan 65R29041

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

1750248 Ontario Inc., 330 Hwy #7 East, PH3, Richmond Hill, ON L4B 3P8