Hints from the Health Department. Leaflet from the archive of the Society of Medical Officers of Health. Credit: Wellcome Collection, London
Report for the year 1903 of the Medical Officer of Health
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91
Urgency Form.
Borough of Hampstead.
METROPOLIS MANAGEMENT ACT, 1855, sec. 202,
and
METROPOLIS MANAGEMENT ACTS AMENDMENT (BYELAWS)
ACT, 1899.
Notice of proposed construction, reconstruction, or alteration of pipes,
drains, or other means of communicating with sewers, or the traps and
apparatus connected therewith, in cases oj urgency.
To the Mayor, Aldermen and Councillors
of the Metropolitan Borough of Hampstead.
Gentlemen,
Whereas*
on behalf of†
have received instructions to carry out the following
work:—**
at the premises situate on the side of
now numbered or known as
and it being necessary by reason of††
that such alterations should be carried out at once, hereby
give notice of intention to commence the work forthwith,
and I undertake to deposit the plans, sections, and written
particulars required by the Bye-laws within two weeks
from date.
(Signature)
day of 190
*Insert here
Name and
Address of
Applicant.
†lnsert here
Name and
Address of
Owner of
premises to
be drained.
**Insert here
particulars
as to the
nature of
proposed
work.
††lnsert here
the grounds
for urgency.