<div class="row">
        <label class="col-sm-4" for="street">Street and Number</label>
        <div class="col-sm-8">
            <input id="street" type="text"
                placeholder="Street and Number" class="smartform-street-and-number form-control input-sm"/>
        </div>

        <label class="col-sm-4" for="city">City</label>
        <div class="col-sm-8">
            <input id="city" type="text"
                placeholder="City" class="smartform-city form-control input-sm" disabled/>
        </div>

        <label class="col-sm-4" for="zip">Zip code</label>
        <div class="col-sm-8">
            <input id="zip" type="text"
                placeholder="Zip code" class="smartform-zip form-control input-sm" disabled/>
        </div>

        <input type="text" style="display: none" class="smartform-street" id="hiddenStreet">
        <input type="text" style="display: none" class="smartform-number" id="hiddenStreetNumber">
    </div>