Original Certificate Certificate reference: …

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Original CertificateCertificate reference :ELECTRICAL INSTALLATION CONDITION REPORT (Requirements for Electrical Installations BS 7671 IEE Wiring Regulations)DETAILS OF THE CLIENTName:Address:PURPOSE FOR WHICH THIS REPORT IS REQUIREDThis report must be used only for reporting on the condition of an existing (s):DETAILS OF THE INSTALLATIONOccupier:Address:Description of Premises:Domestic Commercial Industrial OtherEstimated age of the Electrical Installation:YearsEvidence of Alterations or Additions: If yes estimated age:YearsDate of previous Inspection:Electrical Installation Certificate No: or previous Periodic Inspection report No:Records of installation held by: EXTENT OF THE INSTALLATION AND LIMITATIONS OF THE INSPECTION AND TESTINGExtent of the E

OBSERVATION AND RECOMMENDATIONS FOR ACTIONS TO BE TAKEN Referring to the attached Schedules of Inspection and Test Results and subject to the limitations;

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