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ADDRESS Y ADDITION_---_--- _--------
NAMES OF ORIGINAL AND SUBSEQUENT OWNERS ADDRESS Date Whr
Acquired
04
U 9 Os 0 )
r
BLOCK H
VALUATION
Base Rate
Square Feet
MAIN BLDG. —
BASEMENT
LAUNDRY '
RnOV
HEATING
CORNER OR INSIDE LOT
CLASS
BASEMENT
BATH ROOM
PLUMBING
Full
Half
Laundry
Furnace
Built-in Tub
Leg Type Tub—
Pedestal Lay.
Wall Lay.
Tile wainscoating
Plaster"
1 -Story Dwlg.
2 -Story Dwlg.v
Story and Half
1 -Story Duplex
—
2 -Story Duplex
FINISH
Sealed & Papered
—
BUILT-IN FEATURES
Apartment
GARAGE
I i I
HEATING
Hotel Apt.
FENCES
7 _
KITCHEN
Store Bldg.
—
LAND
VALUE
Office Bldg.
Shop Bldg.
Factory Bldg.
Gas Stove
Gas Steam
Furnace
DEDUCTIONS
Built in Cabi
wV
file DrainWood Drain
Garage Bldg.
Fireplace
Tile Wainscoating
Hardwood Floors
Pine Floors
Garage Home
Filling Sta.
Floor Heaters �--
rj i1^
Keen Cement "
Sealed and Papered
I I I
DRIVEWAY
MISCIELLANEOUS
CONSTRUCTION
_
Tile Floor
Inlay Linoleum
Plain Linoleum
No. of Fireplaces
—Cedar Closets
Book Cases
ickSolid
ame
Veneer%/
Runners
Concrete
Gravel
-
Hollow Tile
FENCE
Concrete Block
OUT BUILDINGS
Steel Frame
Box Const.
Iron j
Plain Wo (
/+
Single Garage �
Double Garage
FOUND TION
Concrete
Blocks
Ornamental Wood
Wire
Brick or Stone
Servants QtrstO
No. Roo1
Plumbin ms �j
�
1-Storyruilding)
-Story
(Other Out
Explain in Rem.)
ROOMS
Living Room
COND. OUSE
Dining "
EgTERIOR
Siding
Shingles
Stucco
Good
Fair Bad
Kitchen
CONSTRUCTION
Box
Frame
Breakfast Rm.
Bedroom
PAINT
Com. Brick
Press rack
Stone
Paper
--Veneer
Hollow Tile
Concrete
Galv. Iron
Library
y
Good
Fair
Sun Parlor
Storage Room
Bad
ROOF
Attic
RCF
Office
HOW OCCUPIED
Shingle
Slate
Tile
Tar and Gravel
Galv. Iron
Asbestos
Composition
Shingle
Slate
Tile
Tar and Gravel
Asbestos
Composition
Stores
Owner j
Tenant
Vacant
Rent
Remarks:
Bath Room
Shower Room
Slee ing Porch
WALLS
Condition:
Good
Fair
Bad
—
Siding
Shingle
Stucco
Galv. Iron
Total Rooms
Each Floor
M-2• t8-39
04
U 9 Os 0 )
r
BLOCK H
VALUATION
Base Rate
Square Feet
MAIN BLDG. —
BASEMENT
LAUNDRY '
RnOV
HEATING
CORNER OR INSIDE LOT
FRONT
BATH
TOTAL IMPROVEMENT
PLUMBING
—3 j
PORCHES
--
FLOORS
I AREA I
FINISH
VALUE
I
(+
BUILT-IN FEATURES
.4
GARAGE
I i I
DRIVEWAY
_
FENCES
LAND
VALUE
FINISH
DEDUCTIONS
TOTAL
DEPRECIATION %
_
I ! I (
Base- STORIES
_
ment ( 1 I 2 g 8 l 4 i 5
CORNER OR INSIDE LOT
FRONT
PICTURE TAKEN
I
TOTAL IMPROVEMENT
FEET
FRONT I
DEPTH
I AREA I
NIT
p ICE
VALUE
I
(+
TOTAL
.4
I i I
LAND
VALUE
FINISH
Base- I STORIES
ment 1 3 1 4 1 5
TOTAL
. •'
_
I ! I (
Hardwood Floors
Pine Floors
I i0ol VT I
I
REMARKS:
a
E
/ /
SIGNED DATE —40 4 v 6
I I I
— I
BATH ROOI
Tile Floor
Inlay Linoleum
Plain Linoleum
KIND WALLS
I I I I
I
I ( I I
Plastered
Shtrk. and T.S.
Sealed and Pap.
Beaver Board
Plywood Panels
`
•