BANGALORE WATER SUPPLY AND SEWERAGE BOARD

   

Application for Water Supply & Sanitary Connection

 

 

TO BE SUBMITTED IN DUPLICATE                                   Application No.:

 

 

To be filled by Applicant for:

   


    A)  New Connection                                                                                              

   


B)     Additional Connection                                                      

   

C)    Increase/Decrease of size of existing connection

 

 

1.      Name of applicant  ……………………………………………….

 

2.      Address of the premises for      ………………………………………………..

 

which connection is required     …………………………………………………

                                                     ………………………………………………...

     Address for correspondence      ………………………………………………..

 

                                                       ……………………………………………….

 

                                                       ……………………………………………….

 

3.  Telephone No.    …………………………………………………

 

4.   Sital Area (Square Yards/Square Meters)

 

a)      As per registered sale deed  …………………………………………………

 

b)      As per Municipal sanctioned plan …………………………………………..

 

5.      Purpose:

a)      Individual House :                 

   


b)      Residential Apartment:  

  

   c)  Hotels, Lodge, Restaurant, Nursing Home/

Hospital, Commercial Complex:  

 

   d) Industry:

   

   e) Partial Residential/Partial Commercial:

 

 


6.  In case of Apartments, Number of Flats:

 

7.  Total built up area of Individual House/Multi Storeyed

      Apartment/Commercial Complex:                                  ………………….

 

8.  Size of water supply connection applied

 

      15mm         20mm         25mm          40mm         50mm            Others

       (1/2”)           (3/4”)           (1”)             (11/2”)           (2”)

 

 

9.  Size of Sewer Connection applied

 

        100mm                     150mm                     200mm              Others

         (4”)                           (6”)                           (8”)


10. Particulars of existing Water Connection if any

 

11.  Particulars of existing Sewerage Connection if any

    

 12. Documents submitted:

   

BMP/Municipality/BDA Sanctioned Plan:

   


BMP/Municipality/BDA Assessment/ Tax Receipt:

 

Occupancy Certificate issued by Municipality/BMP/BDA:

 

Road Cutting Endorsement with challan issued by

Municipality/BMP/BDA:

   

I/We undertake to get the work of house connection executed by a BWSSB licensed 

plumber and use standard materials.

 

I/We further accept that any officer authorized by the Board can inspect the premises at any

reasonable time for inspection of the connection.

 

I/We hereby undertake that the connection given to the premises on my name has no bearing

on any legal right regarding the property in question.

  

Place ……………..                Date  ………….             Signature of Applicant

     

PLEASE NOTE:

 

Duly filled in application along with necessary documents should be submitted to the office of the area Assistant Executive Engineer.

 

In case of individual house with ground floor only D.D. for Rs.1600/- has to be enclosed,

with Ground Floor + First Floor   D.D. for Rs.2000/- has to be enclosed.

Any extra amount due will be intimated along with the sanction order.

 

In case of building which attracts Prorata charge, the payment to be made will be intimated separately.

 

If water supply line, UGD line are to be provided from BWSSB feeder line or from BWSSB sewer submain,  the cost for these works will also be intimated separately.

 

 

BANGALORE WATER SUPPLY AND SEWERAGE BOARD

 

CHECK LIST

 

1.  Municipality/BMP/BDA (Tax Receipt / Assessment)               :     YES / NO

 

2.  Municipality/BMP/BDA Approved Plan                                  :     YES / NO

 

3.  Whether Sump existing                                                            :      YES / NO

 

4.  Road Cutting Endorsement issued by Municipality/BMP/BDA :     YES / NO

   

FOR LOCATING YOUR HOUSE, PLEASE FURNISH THE FOLLOWING INFORMATION:

 

1.  Adjacent House Number and BWSSB RR No. if any

 

2.  Opposite House Number and BWSSB RR No. if any

 

3.  Landmark

 

4.  Nearby Telephone Number

SITE LOCATION PLAN

       

                                                                           Signature of the Applicant