1893-HKRS31-1-1-1_Part02 — Page 15

akaye n any

it the

h the antity

REFERENCE No.

Form B.

in account with the Treasury.

HONGKONG,

WATER ACCOUNT,

be in

mance

forms

: hand

ons to

person

shall

Size of Motor

Reading ou

Bouding ou

Water consuued

Payment for Water consumed

Dedust % of annual rating valuation

n the

group

ement

be la

liouse Water in the

!,

F

TOTAL******

MIL-1 bave to call upon you to pay the above amount tato the Colonial Treasury within 14 days of the

shove date in moun lauce with Water Supply Regulations.

Form 0.

No.

189

Water Authority.

***

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

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

Xo.

OP U11

Lot No.

Street,

and I request that ou completion thereof you will insport it nand, if found satisfactory, entise it to be connected to the Mains of the Waterworks.

Signature

Address

PARTICULARS OF PROPOSED WORKS AT No.

STREET ON INLAND LOT No.

*

PIPING ON PRIVATE

TAPE.

CISTERNS.

PREMISES.

REMARKS.

Length. Size. Number Size. Position.

Capacity cubic feet.

Position.

Siyanture of Owner of Tevement,