Form ID

Publication date

Location of premises

Certificate

Scum Chamber Access Hatch Installations Contract No. RFT 14805-96878-T01

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
City of Ottawa
Address of Owner
City Clerk, City of Ottawa, 110 Laurier Avenue West, Ottawa,
Name of Contractor
Ottawa Valley Structures Inc.
Address of Contractor
66 Grenadier Way, Nepean, ON K2J 4L5
Name of Certifier
James Hill, P. Eng.
Address of Certifier
Same as Owner

Identification of Premises

PIN 04391-0899

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

City Clerk, City of Ottawa, 110 Laurier Avenue West, Ottawa, ON K1P 1J1
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