628441-1899-Regulations-Water-Supply — Page 5

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THE HONGKONG GOVERNMENT GAZETTE, 11TM¤ MARCH, 1899.

Form B.

in account with the Treasury.

HONGKONG,

REFERENCE No.

WATER ACCOUNT FOR QUARTER ENDING.

Size of Meter.....

Reading on.....

Reading on

Water consumed

Payment for Water consumed

Deduct of annual rating valuation

TOTAL,..

N.B.-I have to call upon you to pay the above amount into the Colonial Treasury within 14 days of the

above date in accordance with Water Supply Regulations.

Form C.

Account No.

189

C.

C.

Water Authority.

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.

or on

Lot No.

Street,

and I request that on completion thereof you will inspect it and, if found satisfactory, cause it to be connected to the Mains of the waterworks.

Signature

Address

PARTICULARS OF PROPOSED WORKS AT No.

1

PIPING ON PRIVATE

PREMISES.

STREET ON INLAND LOT No.

TAPS.

CISTERNS.

REMARKS.

Length.

Size. Number. Size. Position.

Capacity cubic feet.

Position.

Signature of Owner of Tenement.