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ADDRESS l ADDITION BLOC
NAMES OF ORIGINAL AND SUBSEQUENT OWNERS ADDRESS Date When Consideration RPMARRKS AND PERMIT DATA VALUATI O N
Ac uired
Constructed or Moved on Lot =/ i z Permit No. +�
�Contract Price � r , Date Released Classification
Base Rate
Square Feet
MAIN BLDG.
BASEMENT
CLASS BASEMENT PLUMBING
LAUNDRY
1 -Story Dwlg•Full 6W'� ROOF
Moden
2 -Story Dwlg. Half Old Style
Story and Half Laundry Sprinkler System HEATING
1 -Story Duplex
2 -Story Duplex Furnace _ BATH
-Apartment MISCELLANEOUS
PLUMBING
Hotel Apt. HEATING ( PORCHES
Store Bldg. Fireplace n/
Office Bldg. Gas Stove �/ Beamed Ceiling / 'V V �w FLOORS
/'
Shop Bldg. Gas Steam Cupboards 0L.
Factory Bldg. Furnace Cedar Closets Q r ��r. ,, FINISH
Garage Bldg. Fireplace Bookcases �✓ 4 -
BUILT-IN FEATURES
Garage Home Tile Drai s;'!'
Filling Sta. DRIVEWAY �I r -1 r GARAGE
DRIVEWAY
Runners OUT -BUILDINGS
CONSTRUCTION Solid Concrete
Brick
Gravel
Frame
EXTERIOR
112) Veneer V
._
Owner v
Fair
Bad
FENCE
Hollow Tile
Tar and Gravel
Concrete Block
Iro
Steel Frame
Plain Wood
Box Const.
Ornamental Wood
Stone's
Wire
FOUNDATION
Brick or Stone
Concrete
Bad
Blocks
COND. HOUSE
ROOF
Good
EXTERIOR
Shingle
._
Owner v
Fair
Bad
Siding
Shingles
Tar and Gravel
Stucco
Com. Brick
PAINT
Press Brick
Good
Stone's
Composition
Paper
Fair
Bad
ROOF
HOW OCCUPIED
Shingle
._
Owner v
Slate
Tile
Tenant
Tar and Gravel
Vacant
Galv. Iron
Asbestos
Rent
Composition
Remarks:
Condition:
Good
Fair
CLASS:
Single Garage
DoubleGarage✓
Garage &
Serv. Qtrs.
CONSTRUCTION
Box
Frame
-Veneer
Hollow Tile
Concrete Block
Steel Frame
Galv. Iron
ROOF
Shingle✓
Slate
Tile
Tar & Gravel
Galv. Iron
Asbestos
Composition
EXTERIOR
Siding ✓
Shingle
Stucco
Galv. Iron
ROOMS
Living Room
Dining "
Kitchen
Breakfast Rm.
Bedroom
Library
Sun Parlor
Storage Room
Attic
Office
Stores
Bath
Shower
Total Rooms
Each Floor
Base -STORIES
ment 1 1 2 1 3 1 4
CORNER OR INSIDE LOT
FRONT
FEET DEPTH AREA
Base- STORIES
FINISH ment 1 2 3 4
Hardwood 1 ors
Pine A V
Concrete "
Hardwood Finish
Pine "
Paint "
Plastered Walls
Shtrk. & T.S. V ` V
Sealed & Pap. "
-.,ia
_-..,mow
4
DEDUCTIONS ,r_ U
DEPRECIATION %
FRONT PICTURE TAKEN
TOTAL IMPROVEMENT
UNIT VALUE +
PRICE TOTAL
LAND
VALUE
?i G'
6 TOTAL J% Al fl
REMARKS: ¢-q tills. 100 + V� V �/ 1
6 --
SIGNED G' - " ` DATE
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