Reports Relating to the Sanitary Condition of the City of London

by John Simon

Staircase, if with windows or skylight _________________________				Sinks _________________________________________________________
Privies	-		Number _________________________________________	Dustbin _______________________________________________________
			Situation ________________________________________

Water-supply	-		Receptacles	-		Material _____________________	Yard—size of uncovered area _____________________________________
						Capacity _____________________	Pavement _____________________________________________________
						Situation _____________________
			Taps, where situated _________________________				Laundry ______________________________________________________

Date _______________________ 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 and satisfactory condition; also that the house generally is in good repair, perfectly clean, and free from disagreeable smell.

Date______________, signed _____________________ Inspector.

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FOURTH ANNUAL REPORT.

September 28th, 1852.

Gentlemen,