karachi water & sewerage board - .:: kwsb · 2018-01-18 · web copy part – b engineering...

Karachi Water & Sewerage Board

Water & Sanitation, C.D.G.K.

K.D.A. Annexi Building, Behind Civic Centre, Karachi. Form No. Web Copy

APPLICATION FORM FOR WATER CONNECTION (DOMESTIC)

1. Name of Applicant______________________________________________

2. Name of Project________________________________________________

3. Fathers / Husband’s Name________________________________________

4. Full Address at which connection is required__________________________

5. Postal Address_________________________________________________

6. Panchayat Committee No. / Quarter________________________________

7. Status of applicant-------Owner / Allot tee Tenant______________________ (Copy of the documents in supports of the statement be enclosed)

8. Area of Plot___Sq. Yds a: Covered Area of Flat___Sq. Ft. No. of Stories__

9, Number and size of water connection applied for_______________________

10. Purpose for which water connection is required_________________

11. No. and size of existing water connection in the premises_________ 12. In case of additional water connection. Why it is required__________

13. Has any construction been carried out on the premises? If so give details.

_______________________________________________________________

14. Are all taxes paid in respect of the premises from the date of

occupation (attach documentary evidence)

15. Name and address of the licensed plumber who will carry out the work. _____________________________________________________________ _____________________________________________________________ _____________________________________________________________ I hereby declare that the information given by me as above is correct to the best

of my knowledge. I hereby agree to pay all the changes in respect of the water connection

applied for and all arrears of taxes etc. outstanding in respect of the premises. I further agree to abide by the Board’s rules regulations and by-laws concerning

water supply at present in force and those that may be framed from time to time.

If hereby accept the above work to carry it Signature of the applicant

Out according to Board’s rules / regulations

And bye-laws.

N.I.C No

- -

Signature of licensed plumber and

Name ________________________ License No.____________________

N.I.C No

- - Web copy

Web Copy

Part – B ENGINEERING DEPRATMENT REPORT

1. Can water connection applied for be sanctioned, keeping In view the water supply position of the area? Yes / No

2. In case of affirmative is Pucca Road cutting involved

And what will be its restoration charges? a) Yes / No

(Challan thereof to be its prepared by the Engg. Division

concerned of KMC or KDA). b)Rs.__________

3. Current water connection charges inclusive

Of all charges/.

Rs.___________

4. Size of connection recommended 5. Incase of metered connection average discharge of per day. ______________

(as approved by the Board)

Sanctioned as per above report

Asstt. Engineer Ex. Engineer S.E Sanctioning Authority

Web Copy Part – C

BILLING & RECOVERY DEPARTMENT REPORT

AMOUNT PAYABLE BY THE APPLICANT

1. Water Charges

a) Period

b) Rate Rs._______________________

c) i) Amount payable (In Figures) Rs._______________________

ii) Amount payable (In words) Rs._______________________

___________________________

___________________________

___________________________

___________________________

2. Consumer Security Deposit

a) Rate Rs.______________________

b) Amount Rs.______________________

Web Copy

Web Copy (Applicant’s Copy)


Water & Sanitation, C.D.G.K. N.O.C.____________ Part-D No. 6167

Sanction Order No.___________

SANCTION ORDER No. _________________

Sanction accorded by the Competent Authority is conveyed for a water connection on usual terms and condition in respect of the following premises:-

1. Name of

Applicant_____________________________________________________________

______

2. Name of Project

____________________________________________________________________ 3. Father’s Name

_____________________________________________________________________ 4. Detail of Premises

___________________________________________________________________ 5. No. and size of water connection sanctioned

_______________________________________________ 6. Storey’s _________ Flats / Bungalows__________Offices _________Shops_________ 7 Purposed of water connection Residential / Commercial / Industrial

8. Whether meter is to be provided? Yes / Not now.

SEAL

Signature ………………………………..

Designation…………….………………..

--------------------------------------------------------------------------------------------------

2nd

Copy For Executive Engineer _____Div (W)

K.W.&.S.B

Karachi Water & Sewerage Board Water & Sanitation, C.D.G.K.

N.O.C.____________ Part-D No. 6167




1. Name of

Applicant________________________________________________________________

_

2. Name of Project

__________________________________________________________________ 3. Father’s Name

___________________________________________________________________ 4. Detail of Premises

_________________________________________________________________ 5. No. and size of water connection sanctioned

_____________________________________________ 6. Storey’s _________ Flats / Bungalows___________Offices_________Shops________

7. Purposed of water connection Residential / Commercial / Industrial


SEAL

Signature ………………………………..


Usual Charges Recovered Towards_ Dia Water Connection

1. Construction / Advance Water Charges Rs.__________________

2. Consumer’s Security Deposit Rs.__________________

3. Connection Charges (Supervision) Rs.__________________

4. Scrutiny Charges Rs.__________________

5. Sewerage Charges Rs.__________________

6. Share Contribution Rs.__________________

7. Share Cost Rs.__________________

8. Other Misc. Charges Rs.__________________

9. _____________________________________________________________________ 10.

_____________________________________________________________________

Total Rs.=======================

(Rupees____________________________

__________________________________

__________________________________

(Signature & Seal)

(of the Authority)

Usual Charges Recovered Towards__ Dia Water Connection







7. Share Cost Rs.__________________


9. _____________________________________________________________________ 10. ___________________________________________________________________

Total Rs.=======================

(Rupees____________________________

__________________________________

__________________________________

(Signature & Seal) (of the Authority)

3rd

Copy For Director Taxes (Bulk Recovery’s

K.W.&.S.B






1. Name of

Applicant________________________________________________________________

__

2. Name of Project

___________________________________________________________________ 3. Father’s Name

____________________________________________________________________ 4. Detail of Premises

__________________________________________________________________ 5. No. and size of water connection sanctioned

______________________________________________ 6. Storeys _________ Flats / Bungalows___________Offices _________Shops_________

7. Purposed of water connection Residential / Commercial / Industrial Agricultural_____________________________________________________________


SEAL

Signature ………………………………..


--------------------------------------------------------------------------------------------------

4th

For Dy: Director Taxes Div__________K.W.&.S.B


N.O.C.____________ Part-D No. 6167




1. Name of

Applicant___________________________________________________________________

2. Name of Project ____________________________________________________________________ 3. Father’s Name _____________________________________________________________________ 4. Detail of Premises ___________________________________________________________________ 5. No. and size of water connection sanctioned _______________________________________________ 6. Storeys _________ Flats / Bungalows___________Offices _________Shops_________ 7. Purposed of water connection Residential / Commercial / Industrial

Agricultural_____________________________________________________________


SEAL

Signature ………………………………..


Usual Charges Recovered Towards______ Dia Water Connection







7. Share Cost Rs.__________________


9. _____________________________________________________________________

10. _____________________________________________________________________

Total Rs.=======================

(Rupees____________________________

__________________________________

__________________________________

(Signature & Seal)

(of the Authority)

5th

Copy Executive Engineer (W.M.D)______

K.W.&.S.B






1. Name of

Applicant________________________________________________________________

2. Name of Project

_________________________________________________________________ 3. Father’s Name

__________________________________________________________________ 4. Detail of Premises

________________________________________________________________ 5. No. and size of water connection sanctioned

____________________________________________ 6. Storeys _________ Flats / Bungalows___________Offices

_________Shops__________________


__________


SEAL

Signature ………………………………..


---------------------------------------------------------------------------------------------------- ---------------------------------

6th Copy

Executive Engineer _______ Div. (Sewerage) K.W.&.S.B.






1. Name of

Applicant__________________________________________________________________

2. Name of Project ___________________________________________________________________ 3. Father’s Name ____________________________________________________________________ 4. Detail of Premises __________________________________________________________________ 5. No. and size of water connection sanctioned ______________________________________________ 6. Storeys _________ Flats / Bungalows___________Offices

_________Shops____________________


Agricultural______________________________________________________________

8.

_________

Whether meter is to be provided? Yes / Not now.

SEAL

Signature ………………………………..


Usual Charges Recovered Towards Dia Water Connection







7. Share Cost Rs.__________________


9. _____________________________________________________________________ 10.

_____________________________________________________________________

(Rupees____________________________

__________________________________

__________________________________

(Signature & Seal)

(of the Authority)

Usual Charges Recovered Towards

Dia Water Connection 1. Construction / Advance Water Charges Rs.__________________






7. Share Cost Rs.__________________


9. _____________________________________________________________________ 10.

_____________________________________________________________________

Total Rs.=======================

(Rupees____________________________

__________________________________

__________________________________

(Signature & Seal) (of the Authority)


Part-E To be filled in by Dy. Director Taxes / Manager B & R (Bulk)

Form No. A. 6167

01.CONSUMER No. - - -

2. NAME ___________________________________________________

3. ADDRESS NO-

1 ____________________________________________________

4. ADDRESS NO-

2 __________________________________________________

5. ADDRESS NO-

3 __________________________________________________

6. QTR

NAME __________________________________________________

7. 1ST

SURVEY NO. __________________________________________________

8. 2ND

SURVEYNO. __________________________________________________

9. NET RENTAL VALUE

_________________________________________________

10. CATEGORY ________

__________________________________________

11. PLOT SIZE (Sq.Yds)

_________________________________________________ 12. FLAT

SIZE(Sq.Yds) ___________________________________________________

13. NO.OF

STORIES __________________________________________________

14. WATER-CON.

____________________________________________________ 15. WTR-CON

__________________________________________________ 16. TOTAL-

CON. ____________________________________________________

17. SIZE CON-

1 ____________________________________________________

18. SIZE CON-

2 ____________________________________________________

19. SIZE CON-3

____________________________________________________ 20. TOTAL SHOPS

____________________________________________________ :

__________________________________

SIGNATURE & SEAL OF

AUTHORITY

karachi water & sewerage board - .:: kwsb · 2018-01-18 · web copy part – b engineering...

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