aka u any

the

I the antity

REFERENCA No.

Form B.

in secount with the Treasury,

HONGKONG,

WATER ACCOUNT,

be in

inance

forms

: band ons to

person

shall

n the

group

Size of Meter

Reading ou

Iteuding ou

Water consumed

Payment for Water consumed

Deduet % of annual rating valuation

ement

he is

house Water

in the

را

TOTAL.....

NB-I have to call upon you to pay the above amount tate the biosial Treasury within 14 days of the

above date in teoriniauce with Water Supply Regulations.

Form C.

No.

189

Hater Authority.

C,

Notice of the intention to construct a New Service or to alter or extend any existing Service. (Regulation 18.)

I hereby give notice that I am about to construct a service, or, to alter or extend the existing service, in the manner set forth in the Schedule at foot, to the

No.

>

Lot No.

Street,

and I request that on complotion thereof you will inspact it and, if found satisfactory, entise it to be comected to the Muiss of the Waterworks.

Signature

Address

PARTICULARS OF PROPOSED WORKS AT No.

STREET ON INLAND LOT No,

*

ets.

PIPING ON PRIVATE PREMISES.

TAPS.

CISTERNS.

RENAUKS,

Length.

Size. Number, Sixe. Position,

Capacity cubic feet.

Position.

Signature of Owner of Tenement,

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