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1990, 09-04 Receipt of App to Provide Child CareTO: �14419.1INGIMPM Dna14HNTOf • SERVICES FROM: !3& Rc17to'3 'James C. Marison, Director,' Building Codes, Spokane'County .'`<-1rJNi N.811, Jefferson,,Spokane, WA.,99201 Roy R. Harrington, Regional Administrator,DCFS Region 1`` TAF C-38, B32-21, Spokane, WA 99220, SUBJECT: RECEIPT OF APPLICATION to PROVIDE CHILD •CARE , t, This is. to inform your office that we have received from: Gwen Melcher NAME East 14123 Cataldo STREET OR BOX NO. ' Spokane,. WA CITY an application to establish a VALLEY MONTESSORI SCHOOL TYPE OF FACILITY at Fact 13900 Mission STREET Spokane, WA CITY We will be acting on this application within 90. days of receipt. 99216 ZIP CODE for 49 children • 99216 ZIP CODE While this department does not assume any responsibility for the enforcement of local ordinances, including those pertaining to zoning, land use permits, etc., we have advised the applicant to contact your agency regarding your requirements. If your office is not responsible for zoning, land use permits, building code, etc., please forward this notice to the appropriate agency. - See Instructions on Reverse 0SH5 15-165 (Rev. 3165) OX A-90 2 1-•t, Instructions for Originator 1. This form is to be used upon receipt of an application for a day care center, mini -day care center, or group care facility for children. --- 2-; It,isunnecessary to use this form for relicensing unless there is also a change of address for the facility. 3. One copy of the completed form shall be forwarded to the appropriate local planning/zoning agency, one to the applicant, and one copy shall be placed in the licensing file. 4. For day care centers a copy shall also be forwarded to: DSHS 15165 (Rev. 3/85) Back ox A.90 r Chief Boiler Inspector` ' r Department of Labor and Industries 300 West Harrison, Room 506 Seattle, Washington 98119 • ;-C.9 V.. )1 re ':11 UIt?I.r "(