FORM-"C". (See Bye-laws 6) MUNICIPAL CORPORATION SHIMLA. Application for water connection/Sewerage connection. (1)- New Domestic/ Commercial/Construction water connection. (2)- New Sewerage Connection. (3)- Water/Sewerage connection extension/addition & alteration. (Struck Off (X), which ever is not applicable). To The Commissioner/Municipal Engineer, Municipal Corporation, Shimla. 1. Name of the House: 2. Street: 3. Locality: 4. Year of construction of house: 5. Name of the House Owner: 6. Name of the applicant: 7. Whether applicant is owner or tenant: 8. Whether the water connection is required for const. purpose: 9. If yes, whether plan of Bldg. approved from M.C. Shimla/competent authority: 10. If. Required for domestic use whether completion plan of bldg. stands approved from M.C. Shimla/competent authority: 11. Present position of work in case Bldg. is Construction: 12. Whether the Bldg. is within M.C. Limit or outside. 13. Approx. No. of users: 14. Dia of Pipe line: 15. No. of fittings required: (i) Bib tap: _______________________ (ii) W.Cs.:_________________________ (iii) Geyser: ________________________ (iv) Sink/ Wash basin: ________________ 16. Detail of Existing fittings: 17. Address for Correspondence: 18. Permanent Address: 19. Existing No. of connection in the Bldg., along with name and A/C No. ____. Signature of Licensed Plumber. Sign. of applicant. With seal & Regd. No. or his authorized agent NOTE:-The application must contain the Site Plan drawn on tracing cloth in accordance with the Bye-Laws, showing the M.C. Main water/sewer line with dia, Branch line with dia, Nos. of connections at connection point, path, location of bldg. and nearby remarkable bldgs/roads/paths, duly coloured with the colour which ever is used for sanitary works as per Rule. For Report/recommendations of the J.E./A.E. concerned: The sanction is recommended on the following conditions:- 1. The applicant has to deposit Rs. ______________ on A/C of metering Charges. 2. The applicant has to deposit Rs. ________________on A/C of Security deposit. 3. The applicant has to deposit Rs. _________________ for sewerage connection. 4. The water consumption charges will be charged @ Rs. _______ per 1000 Ltrs. 5. Rs. _________ per month will be charged as connection maintenance charges. 6. The applicant will take road-digging permission from the concerned authority. Assistant Engineer. Junior Engineer. For Office Use only: Supdt.(R)/ M.E. Sanctioning Authority.
