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ADDRESS ADDITION LOT
NAMES OF ORIGINAL AND SUBSEQUENT OWNERS ADDRESS Date When
Consideration REMARKS AN 3T DATA
Acquired
C structed or Mo n Lo 1 i Permit No.
c.r, . ! -.
/
Contract*r�ice $.� ! • Date Released
Base- STORIES CORNER OR INSIDE LOT FRONT
ment 1 2 3 4 5
f
FRONT
FEET DEPTH AREA PRICE
Base- STORIES
�" FINISH ment 1 2 3 1 4 5
3
Hardwood Floors v
Pine ` REMARKS:
Tile 113 A(/
Concrete "
Hardwood Finish
Pine "
/ Paint "
Plastered Walls V
I Shtrk. & T.S. "
Sealed & Pap. "
' rl
R.
BLOCK
- VALUATION
Classification---
Base
lassification _Base Rate—
Square
ate Square Feet _
MAIN BLDG.
BASEMENT
LAUNDRY
ROOF
HEATING
BATH
PLUMBING
PORCHES
FLOORS
FINISH
BUILT-IN FEATURES
GARAGE
DRIVEWAY
FENCES
DEDUCTIONS 1
DEPRECIATION %
PICTURE TAKEN
TOTAL IMPROVEMENT
VALUE + TOTAL
LAND
VALUE
+ar
TOTAL]
`
�^3
jn
SIGNED / DATE '" "'
CLASS
BASEMENT
PLUMBING
1 -Story Dwlg.
Full
Moden &---
2-Story Dwlg.
Half 'ln4�
Old Style
Story and Half t-"
Sprinkler System
1 -Story Duplex
Laundry
2 -Story Duplex
Furnace
MISCELLANEOUS
—Apartment
Hotel Apt.
HEATING
Store Bldg.
Fireplace /
Gas Stove L/�h
AO
Z
Office Bldg.
Beamed Ceiling
Shop Bldg.
Gas Steam
Cupboards * D
Factory Bldg.
Furnace
Cedar ClosetsNP
Garage Bldg.
Fireplace
Bookcases
Garage Home
Tile Drains (/
Filling Sta.
DRIVEWAY
Runners ✓ ?
CONSTRUCTION
OUT -BUILDINGS
Solid Concrete
Gravel
CLASS:
Brick
Single Garage
Frame
.._.Veneer li
Double Garage!/
Hollow Tile
FENCE
S10, erv. Qtrs.
Concrete Block
Iron
/'
Steel Frame
Plain Wood
Box Const.
Ornamental Wood
CONSTRUCTION
— —
Wire
FOUNDATION
Brick or Stone
—
Box
Frame L/
ROOMS
Concrete {/
COND. HOUSE
Living Room
Blocks
—Veneer
Hollow Tile
—
Good v
Dining "
EXTERIOR
Fair
Bad
Concrete Block
Steel Frame
Galv. Iron
Kitchen
Siding
Breakfast Rm.
Shingles
Stucco
Bedroom
PAINT
Library
Com. Brick
Press Brick
ROOF
Good `�
Sun Parlor
Stone ✓
Shingle ✓
Paper
Fair
Storage Room
Attic
Bad
Slate
Tile
ROOF
Tar & Gravel
Office
HOW OCCUPIED
Shingle V
Galv. Iron
Stores
Owner
Bath
Slate
Asbestos
Tile
Tenant
Composition
Shower
Tar and Gravel
G�
EXTERIOR
C
Galv. Iron
Vacant
Asbestos
Rent
Siding
Composition
Remarks:
Condition :
Shingle
Good (/
Stucco
Fair
Galv. Iron
Total Rooms
Each Floor
Bad
Base- STORIES CORNER OR INSIDE LOT FRONT
ment 1 2 3 4 5
f
FRONT
FEET DEPTH AREA PRICE
Base- STORIES
�" FINISH ment 1 2 3 1 4 5
3
Hardwood Floors v
Pine ` REMARKS:
Tile 113 A(/
Concrete "
Hardwood Finish
Pine "
/ Paint "
Plastered Walls V
I Shtrk. & T.S. "
Sealed & Pap. "
' rl
R.
BLOCK
- VALUATION
Classification---
Base
lassification _Base Rate—
Square
ate Square Feet _
MAIN BLDG.
BASEMENT
LAUNDRY
ROOF
HEATING
BATH
PLUMBING
PORCHES
FLOORS
FINISH
BUILT-IN FEATURES
GARAGE
DRIVEWAY
FENCES
DEDUCTIONS 1
DEPRECIATION %
PICTURE TAKEN
TOTAL IMPROVEMENT
VALUE + TOTAL
LAND
VALUE
+ar
TOTAL]
`
�^3
jn
SIGNED / DATE '" "'