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PARK IMPACT WKSHEETRECEIVED City of Edmonds MAR 05 2020 Park Impact Fee Worksheet BUILDING Name of Proposed Project: KENTNER RESIDENCE Current Site Address: 806 CARY RD Building Permit #: BLD Previous Site Address (if different): Owner/Applicant: H213 ARCHITECTURE + DESIGN Applicant Mailing Address: 23020 EDMONDS WAY #113; EDMONDS, WA 98020 Phone: 206-542-3734 E-mail address. LISAK@H2DARCHITECTS.COM TYPE OF PROPOSED DEVELOPMENT (select one) EJ New Commercial: Square footage of all floor area: ❑ Commercial Addition: Description of use: Square footage of all floor area: Description of 0 New Single Family, Does this new residence replace an existing residence demolished with previous 12 months? ❑■ Yes ❑ No Demo Building Permit No.: Date issued: SFR building permit must be issued within 12 months of issue of demo Permit. ❑ New Multi -Family: Number of dwelling units proposed: ❑ Multi -Family Addition: Number of existing dwelling units: Number of dwelling units pro ❑■ Exempt from PI fee (Low-income or other per ECC 3.36.040. Provide additional documentation.) ❑ Credit (For off -site improvement, etc. per ECC 3.36.050.) $ FEE RATES TYPE OF DEVELOPMENT: RATE: Single Family $2 734.05 per dwelling unit Multi -Family $2,340.16 per dwelling unit Non -Residential $ 1.34 per square foot of new or additional floor area For City Use Only Calculate Fee Here: Total Fee