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Motorist Information Sign Program Application

Thank you for your interest in the Washington State Department of Transportation's Motorist Information Sign Program. A business applying for motorist information signing must:

  • Meet program eligibility criteria in RCW 47.42 and WAC 468-70
  • Pay an annual fee on a timely basis
  • Agree to limit the height of any on-premise sign to no greater than 15 feet higher than the roof of the main building per RCW 47.36.310 and RCW 47.36.320.
  • Agree to provide for and maintain follow through signing if required by the department.

Please visit the eligibility criteria website to ensure your business is eligible before submitting an application. Failure to meet these requirements or other MIS program criteria may result in the removal of a business's logo signs.

Please provide us with the following information and return to the Region Representative:

Business Name :

Business Street Address:

Business Type:

City:

State:

Zip Code :

Name of Business Contact:


Phone Number:



Fax Number:
E-Mail Address:
Business Website Address:

State Highway & Interchange or Exit Number / Intersection :

Number of Miles From Highway:


Brief description of Business / Services Offered:

Hours of Operation :

Sunday:   
to
Monday:
to
Tuesday:
to
Wednesday:
to
Thursday:
to
Friday:
to
Saturday:
to

 

Seasonal Business:
(Open part of a year)


Type of Business - Check all that Apply:

Gas

Food

Provide fuel, oil, water, tire repair.
(Tire repair may be off-premise)		 License or approval from County Health Office;
License #
Provide restrooms, drinking water and phone Inside seating from 20 people
Card lock facility open to all major credit cards Parking for 10 vehicles
  Provide restroom facilities and phone
 
 

Lodging

Camping
WA Department of Health:
License # 		License or approval from County Health Office;
License #
Number of rooms 24- Hour attendant on duty
  Number of camping spaces
  Number of tent camping spaces

 

Tourist Activity

Recreation

(Interstate Highways only)
(Non-Interstate Highways only)

Activity Provided

Recreation activity provided
 
 

Pharmacy

Within 3 miles of the state highway

Open 24 hours, 7 days a week

State registered Pharmacist on Duty 24 hours, 7 days a week

 

I, the undersigned applicant, declare under penalty of perjury under the laws of the State of Washington that the information provided herein, concerning my business, its services, and operating hours certify that the above statements are accurate and true. I also acknowledge that any discrepancy in such information discovered hereafter is cause for the Department of Transportation to revoke the motorist information sign permit and remove my logo sign.

Regional Information:

Which Region are you in?

 

                                              

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