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APPENDIX. 51
No. VI. Proposed, Schedule of specification for the Register of
Lodging-houses.
House situate at No.
Name and Address of Owner
Number of Floors (including Cellars and Lofts)
„ Rooms „ „ „ „
Account of Booms separately.
Rent.. Number of
Inmates.
No.
(in Situation. Height. Length. Breadth. Windows. Flooring. Fire-place. Ventilators.
door. Weekly, or nightly,or per person. Under Over 9 years of ages.
Under Over 9 years of ages.
Floor, Aspect. ft. in. ft. in. ft. in. 1
2
3
4
5
6 i
7
&c.
Staircase, if with windows or skylight
Number
Privies
Situation
Material
Receptacles .. -J Capacity
Water-supply
Situation
Taps, where situated.
Date
Sinks
Dustbin
Yard—size of uncovered area
Pavement
Laundry
Signature of Owner
Note. I,. Inspector for the Commissioners of Sewers of the City of London, do certify that the
above schedule contains a true account of the matters to which it relates ; also that I have examined the privies, drains sinks,
and water-supply in the above house, and do find the same to be in an efficient aud satisfactory condition ; also that the house
generally is in eood repair, perfectly clean, and free from disagreeable smell.
Date, signedInspector.