NO
FRONT
REAR
BLOCK
DATE
STREET
RENT
M FG. ON PREMISES
LOCATION
Week-Month
Kind
Story-Front-Rear-Through
N. S. E. W.
None
TOTAL
LODGERS
FAMILY
HEAD OF FAMILY
Nativity-Occupation
21nd
Children Under 5
PERSONS
No. Adults
No.
Separate Rooms
Over 14
5-14
SOURCE
FIXTURES
(In Apts.)
LIGHT
Rep.
Kind
Mat'l
Cased
Clean
No.
Loc.
Trap
Vent.
w c. COMPTS
ROOMS
Use
Clean
Rep. Deg.
Class ISt AI.IYd
Courts OC
N SI EWI
Walls Clean
W. C.
Floor
St to Rear
Painted-Clean-Wet
Sink
2
At Night
Light
Wash
Tub
Pulley
Window
Bath
Narrow
Access
Flush
Basin
Tank
SIZE OF WINDOW TO
Room
O. A. W. Obst.
Valve
DARK
ROOM
By: Ft. Away
Size
O. Air
Hall
6
2ND STAIRS.
Access to
HEATING
No
7
Stove-Stm
Classed by distance from iot line, or yd. depth; on H. Cards
SINS
No.
½Ton
N.S.E.W. to 1. 1.; to b'ld'g. N.S.E.W. to 1. 1.; to b'ld'g. Yd. depth
No.
Where
Adj. Bldg. Lower
COLLECTIONS: ASHES
Adj. Bldg. Lower
Rear Lower
GARBAGE
PANTRY
Refrigerator
Closet
How Often
How Often
Cupboard
QUESTIONS
MISC.
Ventilation Bad-Foul
How Answered
Small Room Small1 Window
Large Kitchen
PHOTO TO SHOW
REMARKS (over)
Lawrence Survey-Housing, 1-1911 Apartment Card.
