Form ID

Publication date

Location of premises

Certificate

Watermain Replacement

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
City of Toronto, Technical Services Division
Address of Owner
399 The West Mall, Etobicoke, ON M9C 2Y2
Name of Contractor
Co-X-Co Construction Limited
Address of Contractor
1014 Martin Grove Road, Etobicoke, ON M9W 4V8
Name of Certifier
Richard A. Noehammer, P. Eng., Acting Manager, District Engineering, Etobicoke York District
Address of Certifier
City of Toronto, City Clerk’s Office, 10th Floor West T

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

City Clerk, City of Toronto, Toronto City Hall, 2nd Floor West, 100 Queen Street West, Toronto, Ontario M5H 2N2
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