103 Yelm Ave SE C ITY O F YE LM OFFICIAI USE ONLY
� Of THFJ�� � 105 Yelm Avenue W. ReC g$3s o0
�q�' �'yr ,�` Yelm WA 98597 Comrn Dev Dept.
� � `� 360 458-8437 OFFICE Bidg Dept.
a r� ( )
�� (360) 458-4348 FAX Insp oare
www.ci.yelm.wa.us
Lic.No.
YELM APPLICATION FOR d
WASHINGTON BUSINESS LICENSE �
Upon receipt of the license application and $35.00 payment, the City of Yelm will conduct an inspection of
the premises for building and fire code conformance. Upon approval from the Yelm Building Department
of said premises, the City Clerk's Office will process the application and mail license to applicant at
address listed below.
Application is hereby made for a Business License for the City of Yelm
' NEW BUSINESS � NAME CHANGE/MAILING ADDRESS CHANGE ONLY
DATE ���L/� Z-
BUSINESS NAME /"Gti+ �^ ��vt�--E S�t� ''+-S ��f � �'�'� LI
NATURE OF BUSINESS �QS�rh.+.� vr2�?�-� Sp`t�' �� S I�-`�-��`
BUSINESS LOCATION ADDRESS � � ��-c'-�6✓� �l/� 5�
MAILING ADDRESS �� (�C� � '��� 7� �c�-��-�l �'�� ���� ���
ANTICIPATED OPENING DATE �� ��" - z ��� �
DAYS & HOURS OF OPERATION -?nr�. — 2 �`z l-� ��"�1 ' y�.�
,
OWNER(S) /G'/� ✓�I� �. G'�� ���✓'��
Bi�thdate �U �-l7-1 y l`"�
� �,5���.,,` �!" �� )� C�`��i �' ` �C`��7� y2'�l, �,�,
Address��� f /�� i�7 . ` - �� ,g��l�l7'S -.
City r State Zip �
TELEPHONE _�Cv� � %���G'Y��/
(Business) (Home/Emergency)
CONTRACTOR'S REGISTRATION NO.
(If applicable)
Tf 1URSTON CO. HEALTH APPROVAL NO.
STATE OF WASHINGTON MASTER BUSINESS LICENSE NO. (UBI) cp G'/- 2 Z �t�Z-�B
Signature � Date_�=� �'1� �� ��
� ���_1
CITY OF YELM
BUSINESS LICENSE APPUCATION
Eft 5%OEt
Yage 1 ot 1
�'��shington Stat�e Uegartment vf Revenue
State Business R�cords I�atabase Detail
TAX REGISTRATION NO: 603229210 ACCDUNT OPENED: 12/01/2012
UBI: 603229210 ACCOUNT CL05ED: OPEN
ENTITY NAME: AMI INYESTMENTS LLC
BUSINE55 NAME: FaIR GAME SPORTS BAR&GRILL
MAILING ADORE55: BU5INE55 LOCATION:
PO BOX 8475 113 YELM AYE SE
LACEY,WA 98509-8475 YELM�WA 98597-0000
ENTITY TYPE: LIMITED LIABILITY RESELLER PERMIT NO: M/A
PERMIT EFFECTIYE: N,lA
NAICS CODE: 722511 PERMIT EXPIRES: M f A
MAICS DEFINITION: FULL-SERYICE RESTAURAMTS
F�R M�N-CDMMERCIAL USE �NLY
02/D5J2013 11:44 AM
http://dor.wa.gov/imagesBRDImage.aspx?tra=aK2KHnUfnIQsdSvk/gMYcXAFxLDxJO... 02/OS/2013
��f THF�°.Q9-� C i ty o f Ye l m
♦
�' '�
4 � Pc�bl.i.c Worhs Departn�ent
107 Yelrn Auen ice 6�'est
Yelni, WA ,985,97
YELM
wnsHir�croN
Date �-°J����.—�
Property Address �� � �l�'e s E
Business License Applicant: ��,t��� �• �d-���1 � T
Dear Applicant:
Section 13.04.220 YMC requires all commercial buildings and irrigation systems to have
a Reduced Pressure Backflow Assembfy (RPBA) device installed on the water services.
Installation of a Reduced Pressure Backflow Assembly is required:
❑ Prior to approval of your business license
,�Vithin �C� days of change of ownership ��d c�c.�.S �r'�c c��� �-v A�-(�- '��u�✓
l�❑ Not Applicable dis s�,.,..�,ly—
, 2 � d,�r �.� Ffi�� ��r��-�-
Contact Kevin Ray, City of Yelm Public Works (360) 458-8410
kevinr(a�ci.yelm.wa.us for details on device options and inspection
requirements.
Fats, oils, and greases entering the City of Yelm STEP sewer system can adversely
affect the operation of the plant and the City requires ali appropriate measures to avoid
fats, oils and greases from entering the system. Section 13.08.090 Yelm Municipal
Code requires an appropriately sized grease interceptor to be instailed prior to the '����
STEP tank. �(�,�'�Gj �� �,�y : �( ��et� �-o � �u��x'�-e� 1� .�
�O� �.''.e-a-�i�-- �i'v��-a' -�r'- ��,�t�t'D✓1 '�O t I�rS L��
Installation of a Grease Interceptor is required: �r'�t� �-�P, f-�„s w<<( +�-�a� d�O be
� Prior to approval ofi your business license �°''�^��"� P'"'•'r' �'° �-���. Co��c�— �u�'
❑ Within days of change of ownership�' � ��r- �g`�
,,.I�--,
❑ Not Applicable i�� ���n� ,s..P( �
�y�3
Contact Jim Doty, City of Yelm Public Works (360) 45 - 41 Z� � �,(�'1(e�
jimdna,ci.Velm.wa.us for details. �y5�e�- ��-� �'`�""'�
/
����s
:ii4l�'G"Y3
Af Se/Y/CeS
380-491-2900
7225 Paciflc Ave SE Fax:380-491-1990
Olympia, Wil 98503
PROPERTY INFORMATION
Location:113 YELM AVE SE NA
YELM
Tax ID:64400500500 Lo
r�nai�ro: THEODOR INC
2340 130TH AVE NE#150 Use:
BELLEVUE,WA
98005
Owner.THEODOR INC
ON ID:2090839
Foltl
Fold ONSITE SEWAGE sYSTEM INaPCCT10N REPORT Here
Here �nspected:03/02/2013 - Inspection Type:ROUTINE - Correction Status:No corrections needed
COMMENTS&GENERAL INSPECTION NOTES
No Deficiencies Noted
THIS IS A GREASE TRAP THAT FLOWS INTO SEWER TANK,WHICH IS EMPTY WITH NOTHING IN IT.INSPECTION ONLY,NO
PUMPING NEEDED
GENERAL SITE&SYSTEM CONDITIONS
Fuliy Inspected
The General Site and System Conditions were: YES
All Components accessible for maintenance,secure and in good condition: NO
Surfacing effluent from any component(including mound seepage): YES
Components appear to be watertight-no visual leaks: NO
Improper encroachment(roads,buildings,etc.)onto component(s): NO
Component settling problems observed: NO
Abnormal ponding present for one or more of the disposal components: YES
Subsurface components adequately covered NO
Site maintenance required(e.g.Landscape maintenance)If yes,describe in comments:
SERVICE/NFORMATION Submitted 03/04/2013 by:
Company: Work Performed By:
A+Services Sean Phillips Sara Powers
This report indicatas certain charadensfics o/the onsita sewage system at the tlma o/visif.In no way is this repat a guarentae o/operation or luture paAOrmance. Page 1 Of 2
RepoRID:287746 View inspection reports online at www.onlinerme.com
ONSITE SEW�IGE SYSTEM INSPECTION DETAIL
Fully Inspected
This component was: NO
Pumping needed:
This report indicates certain charecfaristics o/tha onsita sewage system at the Nme o/visit.In no way is this repoR a guarantee o/operetion w lufure peAamanca.
ReportlD:287746
View inspection reports online at www.onlinerme.com Page 2 of 2
Lori Mossman
From: Jim Doty
Sent: Tuesday, March 05, 2013 3:16 PM
To: Lori Mossman
Subject: Fair game sports bar
This inspection report fulfills the requirements for the sewer dept.
Jim Doty
Plant Manager
City of Yelm Water Reclamation Facility
931 N.P. Road
Mail:
105 Yelm Avenue W
Yelm, WA 98597
Ph. (360)458-8411
Fax. (360)458-8166
1
���� Washin ton State Licensing and Regulation
;� $ PO Box 43098, 3000 Pacific Ave SE
� � Liquor Control Board Olympia WA 98504-3098
Phone—(360)664-1600
Fax—(360)753-2710
April 5, 2013
AMI 1NVESTMENTS LLC
PO BOX 8475
LACEY WA 98509-8475
Re: FAIR GAME SPORTS BAR& GRILL
113 YELM AVE SE
YELM, WA 98597-3326
LICENSE#354837 - lE
UBI 603-229-210-001-0001
Your SPIRITSBR/WN REST LOUNGE - license has been approved.
This license is valid through August 31, 2013.
You must post this letter in a public service area as your temporary operating permit. If you do
not receive your Business License with liquor endorsements in 15 days,please contact Department of
Revenue's Business Licensing Service/Specialty Licenses at(360) 705-6744.
You are reminded that all employees must have a valid MAST permit within 60 days of employment.
Persons under 21 years of age are not permitted in the lounge, except for musicians or employees
who qualify under RCW 66.44.316. "Minors prohibited" signs must be posted at all restricted area
entrances, and other locations as necessary,to clearly mark restricted area boundaries.
Beer to be sold under this license must be purchased from a beer distributor or brewery.
Wine sold under this license may be purchased from another retailer with a Wine Retailer Reseller
endorsement.
If you purchase spirits from a Spirits Retailer licensee,you must keep records by stock-keeping
unit(SKU) of all your purchases, including the identity of the seller and the quantities purchased.
This approval is based on your meeting all requirements of state, county, and city laws and ordinances
relating to sanitation, zoning, fire, safety and building codes to include the laws relating to public
accommodations for physically disabled persons (RCW 70.92).
S/B/W REST 6/15/12
Page 2
Alterations or changes in ownership require prior Board approval. If you wish to make such
changes, please contact our office for assistance.
At this time, Board approval is not required for music, dancing, and other entertainment at your
premises. If you wish to continue these activities in the dining area after 11 p.m., you must either, 1)
request Board approval to reclassify the dining area to a lounge,thus restricting persons under 21 years
of age, or 2)notify the Board Licensing and Regulation Division in writing at least 48 hours in advance
that the sale, service, and consumption of liquor will end in the dining area at 11 p.m.
Your liquor license can now be renewed online through Department of Revenue's Business Licensing
Service. Information on how to do this will be included on your renewal notice.
,('.ixzda 53aacPt/pte
Liquor License Investigator
360-664-1629
cc: Olympia Enforcement Office
e I iteautos�comcast.net
S/B/W REST 6/15/12