Most tourists in Jerusalem's Old City, seem to be so captivated by the offerings of the various souvenir shops or the ancient stones that they never look above their heads. Thus, they don't realize there is life above the streets.
The majority of the shops lining the streets of the Old City have apartments above, which is where most of the residents live - i.e. above street level.
In this photo the woman is hanging her laundry in the midst of a cobweb of electric wires - some old, some new, some legal, some illegal.