| Directorate of Municipal Administration And Urban Development Department | |||||||||||
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| City Municipal Council Koppal | |||||||||||
| Name of work | |||||||||||
| Client Name | |||||||||||
| Agency Name | |||||||||||
| HSC No. | Geo tagged (GIS) House Connection Service | Date | |||||||||
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Source Name :
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Ward No. | ||||||||||
| Zone / DMA | GPS Co-ordinates | ||||||||||
| Upstream node | Down stream node | Node Distance (M) | Pipe Dia (mm) | ||||||||
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| Type of Tap Connection | Non Domestic | Domestic | Commercial | ||||||||
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| Water Meter Serial No. | Electric RR No. | ||||||||||
| Details of Household Consumer | |||||||||||
| Owner Name | House / Plot No. | ||||||||||
| Address | PID (Form - 3) No. | ||||||||||
| Land Mark | Taluk | ||||||||||
| Area / Colony | District | ||||||||||
| Aadhar No. | Mob No. | Area Pin code | |||||||||
| I Here By Confirm That The Above Work Is Completed And I Have Not Paid Any Amount Towards The Execution of This Work And Here After I Am Responsible For The External Damages Caused For The Work. | |||||||||||
| Acceptance of the consumer | |||||||||||
| Consumer Name | Relationship of owner | Signature | Date | ||||||||
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House Front Photo
Fits inside cells 29 to 43
Water Meter Photo
Fits inside cells 29 to 43
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CHIDU INFRATECH PVT LTD
Regd. Off: No. 450/1, Umar Industries, Kanakagiri Road, Gangavathi-583227, Dist: Koppal Site Project Office: No.36, Vivekanand Nagar, Kidadal Road, Koppal - 583 231 |
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"GREEN CITY CLEAN CITY"
"SAVE WATER SAVE LIFE"
"POLUTION IS BAD IT MAKES EARTH BAD"
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