20150812100641.pdfCity OAF Edmonds
Pre -Application Form '
Pre -Application for: ❑X Building Permit ❑ Land Use Approval/Permit
Zoning:
WMU
Lot Size: 1.10 Acres Application #: PIKE
Sno County Tax Account Parcel #
00937900001000
Site Address: 9601 Edmonds Way, Edmonds, WA 98020
Existing Use/Occupancy: Vacant Land
Description of Project: Quality Food Centers is proposing a new fuel center having 5 multi -product dispensers and
10 fueling positions. The site will have a stand alone overhead canopy, an attendant kiosk, trash enclosure, breakroom
building and all associated paving, curbing and landscape improvements.
PROPERTY OWNER: Columbia State Bank - Jason Sullivan
.............
Mailing Address: 5210 74th Street West, Suite B
City: Lakewood
Phone: ( 253 ) 471-5000
E -Mail: jjsullivan@columbiabank.com
State: WA
FAX: ( )
APPLICANT/CONTACT: ❑ Sarne as Property Owner Mother
Fill out the following information if "Other".
Name & Mailing Address, Anderson Wahlen & Associates - Jake Tate
City: Salt Lake City
Phone: ( 801 ) 410-8505
E -Mail: jaket@awaeng.com
Revised 9/2010
Mom
State: UT zip: 84116
FAX: ( 801 ) 521-9551