Transcription of Original Certificate Certificate reference: …
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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 the Electrical installation covered by this report:Agreed Limitations (including the reasons), if any, on the inspection and testingOperational limitations including the reasons (see page No.)
SCHEDULES AND ADDITIONAL PAGES Schedule of items inspected Page No. 4,5,6,7 Additional pages, including additional source(s) data sheets: Page No(s):
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