Original Certificate Certificate reference: ELECTRICAL ...

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)

Original Certificate Certificate reference: ELECTRICAL INSTALLATION ... Electrical Installation Certificate No: or previous Periodic Inspection report No: Records of installation available. Records held by: ... Report reference: ELECTRICAL INSTALLATION CONDITION REPORT - GREEN.odt Report pages including inspection and test schedules 5 of 9 ...

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