Park_Impact_Fee_WorksheetU�
City of Edmonds
Park Impact Fee Worksheet -
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Name of Proposed Project: LARSEN RESIDENCE
Current Site Address: 15729 75TH PL W Building Permit #: BLD
Previous Site Address (if different):
Owner/Applicant: CARL & SHARON LARSEN
Applicant Mailing Address: 9832 MARINE VIEW DR; MUKILTEO, WA 98275
Phone: 425-348-8309 E-mail address: N/A (LISAK@H2DARCHITECTS.COM - CONTACT EMAIL)
❑ New Commercial:
Square footage of all floor area:
IN
Commercial Addition:
Square footage of all floor area:
❑ New Single Family:
Description of use:
Description of use:
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: 1
Number of dwelling units
❑■ Exempt from PI fee (Low-income or other per ECC 3.36.040
❑ Credit (For off -site improvement, etc. per ECC 3.36.050.) $_
TYPE OF DEVELOPMENT:
RATE:
NO CHANGE
Provide additional documentation.)
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
L:\Building New Folder 2010\Forms\Park Impact Fee Worksheet JMS 2.docx