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C.F No.21
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Cost of Form Rs.25/-
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No.
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Coimbatore Corporation
Application form for New Water Supply Connection
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Name of the Plumber to whom work allotted:
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License No:
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Address:
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1. Date of Issue of Application:
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2. Name and Address of the Applicant:
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3. Address to which communication to be sent:
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Details to be collected from Town Planning Section
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a. Details of Building Plan approval:
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b. Details of Deviation:
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c. Installation license No. (if it is industries):
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d. Age of the building:
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e. Details of development charges collected on unapproved layouts /
sites:
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f. Details of appeal plan received:
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g. If temporary connection is recommended period may be specified:
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T.P.I
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A.T.P.O
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C.T.P.O
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Details to be collected from the Revenue Section
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a. Assessment No:
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b. A.R.V:
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c. Tax:
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d. Name of the Owner:
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e. Division No:
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f. Door No:
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g. Details of Tax to be paid:
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| B.C |
L.I
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A.R.O
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Water supply section
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Details of well water tax arrears.
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B.C
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Acct / WS
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Note: The Plumber should submit the estimate after collecting the
particulars from the concerned section to the Corporation office
before ......
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* Cost of Form : Rs.25/-
* Cost of Service : Domestic Residents: Rs.2000/-
Non Domestic, Bulk supply: Rs.5000/-
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