Form ID

Publication date

Location of premises

Certificate

Watermain, fire hydrants and water services

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Town of Lakeshore
Address of Owner
P.O. Box 580, Belle River, ON N0R 1A0
Name of Contractor
MR Dunn Contractor Ltd.
Address of Contractor
425 Little Baseline Road, R.R. #1, Tecumseh, ON N8N 2L9
Name of Certifier
Stantec Consulting Ltd.
Address of Certifier
3260 Devon Drive, Windsor, ON N8X 4L4

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

Clerk - Town of Lakeshore, P.O. Box 580, Belle River, ON N0R 1A0
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