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ADDRESS ADDITION ,
NAMES OF ORIGINAL AND SUBSEQUENT OWNERS ADDRESS Date Wha
Acquired-
R , ,
i
r
CLASS Ali BASEMENT BATH ROO
I -Story Dwlg
2 -Story Dwlg.
Story and Half
1 -Story Duplex
Ty p
2 -Story Duplex
Apartment
Hotel Apt.
Store Bldg.
Office Bldg.
Shop Bldg.
Factory Bldg.
Garage Bldg.
(garage Home
Filling Sta.
Full
Half
Lau ry
Furnace
Built-in Tub
Leg Type Tub
Pedestal Lay.
Wall Lay.
Tile wainscoating
Plaster
Sealed & Papered
_
_
_
-
th
—
e
_
— —
t
GARAGE
HEATING
KITCHEN
Gas Stove'
Gas Steam
Furnace
Fireplace
Floor Heaters/
s��+1 y�A-C ✓�
- ile in C met
rile I7rai
Wood DrainTile Wainscoatin
Keen Cement "
Sealed and Papered
NIT
PRICE
DRIVEW Y
i
I -}-
TOTAL
MISCIELLANEOUS
CONSTRUCTION
Runners
Solid Concrete
Gravel
Br- /
Fr
sneer
Hollow Tile
Concrete Block
Steel Frame
Box Const.
No. - of Fireplaces -Z
B ses
127
FENCE
OUT BUILDINGS j
Iron
Plain Wood
Ornam tal od
Wire
Bric tone
Single Garage
Double Garage
Servants Qtra
No. Room
1 -story
-StorPlun3y n ";R
2 -Story
(Other Ou building)
Explain in Rem.)
FOUND A ON
ROOMS
Concrete ''
Blocks
�rstJ
� ' q' co
Living Room
COND. HOUSE
I I I I I
Dining "
Hardwood Floors
Pine Floors
EgTERIO$
Goodiv
Baa
Kitchen
CONSTRUCTION
Siding
Shingles f
Stucco
Com. Brick :.
Press Brio ` r
Stone
Paper
Box
Frame
--Veneer
Hollow Tile
Concrete
Galv. Iron
Breakfast Rm.
Bedroom
P NT
Library
Good
Fair
Bad
Sun Parlor
Storage Room
I I I I (
R OF
ROO
Attic
I I I(
Shingle
Slate
Tile
Tar and Gravel
Asbestos
Composition
Office
Shingl ,
Slate
Tile
Tar and Gravel
Galv. Iron
Asbestos
Composition
Condition
Good
Fair
Bad
HOW OCC PIED
Stores
Owner
Tenant
Vacant
Rent
Remarks:
Bath Room
Shower Room
Sleeping Porch
W ,S
I I ( I I
Siding
Shingle
Stucco
Galva Iron
I I I I I
Total Rooms
Each Floor
1M-2-4 -39
RT CK
VALUATION
5� Base Rate ---
Square Feet — �•��
r
MIIN BLDG.
BASEMENT
LAUNDRY
ROOF
HEATING
BATH
PLUMBING
PORCHES ' c c , 4Z9
FLOORS
CORNER OR INSIDE LOT
FINISH
I PICTURE TAKEN
BUILT-IN FEATURES
t
GARAGE
DRIVEWAY r1l
-- `
FENCES
DEDUCTIONS
DEPRECIATION
Base- STORIES
went I l l 2 8 4 6
CORNER OR INSIDE LOT
FRONT
I PICTURE TAKEN
TOTAL IMPROVEMENTPEET
t
FRONT
DEPTH
AREA
NIT
PRICE
VALUE
I
i
I -}-
TOTAL
(?
I I i I
i I I I
127
7620
LAND
VALUE
I I I I
FINISH
Base- I STORIES
meat I 2 3 I I 5
4
�rstJ
� ' q' co
TOTAL
I t
I I I I I
I I (
Hardwood Floors
Pine Floors
I I I I I
RE ARKS:
—,_
SIGNED DATE ,( '"2 7
I I I I I
I I I I I
I I I I I
BATH ROOM
I I I I I
Tile Floor
Inlay Linoleum
Plain Linoleum
I I I I I
I I I I (
I I I I I
I LZ I I I
I I I I
I I I(
KIND WALLS
I I I I I
I I I I I
I I I I I
Plastered
Shtrk. and T. S.
Sealed and Pap.
Beaver Board
Plywood Panels
f I I I I
I I I I I
I I I I I
I I ( I I
I I I I I
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