1989, 06-05 Permit App: 89001596 Change of Use ~ . ,
SPOKANE COUNTY DEPARTMENT OF BUILDING AND SAFETY
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509) 456-367
I certify that I have examined this permit and state that the information contained in it and submitted by me or my agent to compile said permit is true and correct.In
addition,I have reaand understandtm,/wopsormwnsoumsmswTaworcc provisions included same.All provisions of laws
and ordinances governing this type of work will be complied with whether specified herein or not.I understand that the issuance of this permit and any subsequent
inspection approvals or Certificates of Occupancy shall not be construed to give authority to violate or cancel the provisions of any state or local law regulating
construction,or as a warranty of conformance with the provisions of any state or local laws regulating construction.
SIGNATURE OF APPLICATION
OWNER OR AGENT _DATE
PROJECT NUMBER= 89001596 DATE= 06/05/89 PAGE= Oi
APPLICATION
********************************* APPLICATION ******************************
SITE STREET= 15214 E 1ST AVE PARCELt= 23541 -0326
ADDRESS= VERADALE WA 99037
PERMIT U%E= CHANuE OF U%E
PLATt= 001286 PLAT NAME= HULTMAN% %UB.TR.66, VERA
BLOCK= 2 LOT= 6 ZONE= AG DI%T�= F '
AREA= 08000000 F/A= F WIDTH= 72 DEPTH= 216 R/W= 40
t OF BLDG%= t DWELLINGS= i
OWNER= BECK , LARRY PHONE= 509 924 5267
STREET= 15214 E i %T AVE
ADDRESS= VERADALE WA 99037
CONTACT NAME= GORDON GLENN PHONE NUMBER= 509 924 5267
BUILDING SETBACKS : FRONT= NA LEFT= NA RIGHT= NA REAR= NA
****************************** REVIEW INFORMATION **************************
DATE
DEPARTMENT NAME REVIEW COMMENT% IN/OUT INITIAL%
--------------- --------------- ------ --------
COUNTY PLANNING SITE PLAN REVIEW REQUIRED 890605 %DH
, . ~ ..
�� -~ -~-~- ' d.
8_-------- -------'------ ------ ---
******************************* BUILDING ; ERMIT ****************************
CONTRACTOR= OWNER PHONE=
NEW= REMODEL= ADDITION= CHANGE OF U%E= X
DWELL UNITS= OCCUP. LD= BLDG HGT= STORIES=
BLDG W X D = X SQ FT=
REQ PARKING= tHANDICAP= SEWER= N HYDRANT= N
PROCESSED BY : STEVE HOLYK
' PRINTED BY : STEVE HOLYK
******************************** THANK YOU *********************************
7115NGiCM SIAIE
A7R
&IfALTH
SERVICES
TO: James L. Manson, Director Spokane County Building Codes
North 811 Jefferson, Spokane, WA 99201
FROM: Roy R. Harrington, Regional Administrator, Division of Children and Family
Services, Region 1 , TAF C-38, B32-21 , Spokane, WA 99220
SUBJECT: RECEIPT OF APPLICATION TO PROVIDE CHILD CARE
This is to inform your office that we have received from:
Jean Glenn
NAME
East 15214 First Avenue
STREET OR BOX NO.
Veradale, WA 99037
CITY ZIP CODE
an application to establish a
JEAN'S DAY CARE for 12 children
TYPE OF FACILITY
at East 15214 First Avenue
STREET
Veradale. WA 99037
CITY ZIP CODE
We will be acting on this application within 90 days of receipt.
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
DSHS 15-165(Rev. 3/85) OX A-90
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 is unnecessary 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:
Chief Boiler Inspector
Department of Labor and Industries
300 West Harrison, Room 506
Seattle, Washington 98119
DSHS 15-165(Rev. 3/85) Back OX A-90