FORM OF APPLICATION FOR A CONNECTION FOR WATER SUPPLY FROM THE DISTRIBUTION MAINS OF THE CHANDIGARH ADMINISTRATION. Presented by:- Name__________________________________ Address___________________________________________________________ I, the undersigned hereby make application to the Chief Administration for the supply of water to the house or premises and for the purpose described below and agree to pay such charges as the Chief Administration may from time to time be entitled to make. 2. I, undertake to act in respect of the said supply in a conformity with the bye-laws and regulations made by the Chief Administrator and with such amended bye-laws and regulation as may be made from time to time. 3. I, agree that the Chief Administrator shall with or without notice have power to close or over at any time the private/commencement to my house on promise if he considers it advisable or necessary to for any reason what-so-ever. 4. Sh.__________________________________licencsed plumber has been instructed by _______________________________ to carry out the plumbing work. Description of premises :- SIGNATURE OF APPLICANT House No. :-_____________ Sector_________ Owner or his recognized agent of house or premises Particulars of connection :- i) Approximate length and diameter of service pipe_________________ ii) No. and details of sanitary fittings_____________________________ iii) No. and diameter of taps_____________________________________ iv) No. and details of hot water fittings_____________________________ Purpose for which water is required :- Domestic/ Irrigation/ Const. I/We hereby undertake to give the Chief Administrator due notice of any additions and or alterations of the above mentioned supply which I/we may desire to make. SIGNATURE OF APPLICANT Cost of Connection to be filled by Office. __________________________fer rule completer Rs.____________________________ __________________________Connection pipe ________________________________ inches in diameter. Laid complete Rs. ________________________________________________ ___________________________meter installation charges including cost of meter chamber and cover with locked arrangement Rs. __________________________ Total Rs.:_____________ Sanctioned _____________________ I/d Endst No ....... Dated ...... Forwarded to the S D E Sewerage Sub Divn. No. I, Chandigarh for information and necessary action. Demarcation and P.L. may please be verified and recorded.. It may also be seen that the services fittings has been completed before installing the connection. Executive Engineer, Project P.H. Divn. No. 3, Chandigarh.
