SCHEDULE-A APPLICATION FORM FOR A CONNECTION FOR WATER SUPPLY FROM THE DISTRIBUNTION MAINS OF THE MUNICIPAL CORPORATION CHANDIGARH. PRESENTED BY Name ................... Address .................. I/ We the undersigned hereby make application to the premises and the purpose described below and agree to pay such charges as the Chief Administrator may from time to time be entitled to make. I/We undertake to act in respect of the side supply in a enormity with the bye-laws and regulations make by the Chief Administrator and with such amended bye-laws and regulations as may be made from time to time. I/We agree that the Chief Administrator shall with or without notice have powers to close or over at any time the private/ commencement to may house on promise if he considers it advisable or necessary to for any reason whatsoever. Sh. .................. Licensed plumber has been instructed by............. to carry out the plumbing works. Signature of applicant and owner (or her recognized agent) or house or premises. Description of premises :- House No. ........... is situated, Sector ............. Particulars of connection. i) Approximate length and diameter of service pipe ............... ii) No. and diameter of taps ........................ iii) No. and details of sanitary 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 ......... licensed plumber has agreed to carry our plumbing works of the above mentioned premises of the applicant. Signature of Plumber (With licence number) Cost of connection to be filled in by office. .............. Ferrule complete Rs. ............... Connection pipe ................ 8 inches in diameter. Laid complete .............. meter installed charges including cost of after cover with licking arrangement Rs. ....... Endst. No. ........... Dated............ Sanction .............. I/d ferrule connection. Forwarded to the Sub Divisional Engineer, M.C.P.H.Sub Division No. ... Sector ..., Chandigarh for information and necessary action. It may also be checked personally that the house is situated within the red line of village. Recommended Recommended / Sanctioned ½ " i/d Water Connection S.O. S.D.E. Executive Engineer, Incharge M.C.P.H.Sub Division No.... M.C.P.H. Division No.2 Chandigarh Chandigarh.
