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ADDRESS __ 1� / ADDITION—SIhee-n�a a d e ' __ LOT-
NAMES OF ORIGINAL AND SUBSEQUENT OWNERS
CLAUS
BASEMENT
BATH ROOM
1 -Story Dw1g. V
Full
Built-in Tub
2 -Story Dwlg.
Story and Half
1 -Story Duplex
2 -Story Duplex
Half ,�
Laun��y
Fn "ace
—
I.eo Type Tub
Pedestal Lay.
Wall Lay.
Tile Wainscoating
Plaster It
-f�
Apartment
Sealed & Papered
HEATING
Hotel Apt.
at
ASSESSED VALUE
--
Store Bldg.
I
Ground
Imp.
Gas Stove
IiITCHEN
Office Bldg
.2a"
Shop Bldg.
Factory Bldg.
Gas Steam
Furnace
_
Built-in Cabinet
Garage Bldg.
Fireplace
Tile Drain Ft.
Garage Home
Floor Heaters �. I
Wood Drain
Filling Sta.
Central
Tile Wainscoating
Keen Cement "
_
_ - --
Sealed & Papered
-
- - - -
CON;TRUCTION
DRIVEWAY
Brick
ame
Runners
Solid Concrete
OUT BUILDINGS
Grap�l
Veneer
Hollow Tile--
-- - --
Single Garage
Double Garage
—
Concrete Block
Servants' Qtrs.
FENCE
Steel Frame
Const.
No. Rooms Plumbing
1 -Story
-
Iron
Iron
Plain Wood
Ornamental Wood
Wire
Brick or Stone
2 -Story
(Other Out building)
(Explain in Rem.)
_
FOUNDATION
ROOMS
Solid Concrete
Cone. Blocks
CONSTRUCTION
Living Room
-
Box
Dining
Wood Blocks
MISCELLANEOUS,
Kitchen
--
Frame
—Veneer
Hollow Tile
Concrete
Galv. Iron
_
No. of Fireplaces
—Cedar Closets
Book Cases
EXTERIOR
Breakfast Rm.
Bedroom
Siding
Shingles
Stucco
Com. Brick
Face Brick
Windows ...
Inside Doors.......
Outside Doors.....
Library
ROOF
Sun Parlor
- —
Shingle
Storage Room
Attic
---
Stone
Paper
Mill Work........
Mirror Doors......
Slate
Tile
Tar and Gravel
Office
Stairway......... ,
Attic Fan ... . .. .
---
Asbestos
Composition
Stores
ROOF
—_
Bath Room
Shingle
Shower Room
WALLS
Slate
Tile
Siding
Sleeping Porch
—-- ----- -- - -
Powder Room
Tar and Gravel
Shingle
Galt'. Iron
Stucco
Galv. Iron
---- - -
Den
Asbestos
Total Rooms
Compostion
- - - --- —
-- - - - - -
Pitch.......
-- -_.--- -
------_ -- -
Each Floor
2M 12 -23 -40 -VP
•
ADDRESS
BLOCK A— - - --
Date When Consideration REMARKS AND PERMIT DATA
Acquired VALUATION SUMMARY
Constructed or Moved on LotG 1 •• t ` ermit No - 69 Base Rate J h/ I Class
Contract Price $ 7000 _ Date Released Total Calculated F'tage
Perimeter
r t r l Square Feet
4
�3rr) 1st Floor✓ -
REMARKS
r
=_ War
,/,/ • •
i
Base- STORIES CORNER OR ]
ment 1 2 1 3 4 5
FEET
FRONT
FINISH
Hardwood Floors
Pine Floors
BATH ROOM
Tile Floor
Inlay Linoleum
- Plain Linoleum
KIND WALLS
Plastered
Shtrk. and T.S.
Sealed and Pap.
Beaver Board
Plywood Panels
---t—I SIGNED
2nd Floor
Porelies & Misc.
S. C. C. P.
-f�
_ C. C. P.
—2-9
C. S.
at
ASSESSED VALUE
Year
I
Ground
Imp.
Total
�o
.2a"
-
DATE — -