642448-1895-Water-Regulations — Page 5

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REFERENCE No.

THE HONGKONG GOVERNMENT GAZETTE, 20ти JULY, 1895.

Form B.

in account with the Treasury,

Size of Meter

Reading on

HONGKONG,

WATER ACCOUNT.

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.

路

&

No.

189

V

Water 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 manuer set forth in the Schedule at foot, to the

No.

of ou

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 Water Works.

Signature Address

PARTICULARS OF PROPOSED WORKS AT No.

STREET ON INLAND LOT No.

*

PIPING ON PRIVATE PREMISES.

TAPS.

CISTERNS.

REMARKS.

Length.

Size. Number.' Size.

Position.

Capacity

Position.

cubic feet.

Signature of Owner of Tenement.