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Original Certificate Certificate reference: …

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 INSTALLATIONO ccupier: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 TESTINGE xtent of th

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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