REVIEWED BLD2023-0640+Park_Impact_Fee_Worksheet+5.23.2023_2.07.08_PM+3564437BLD2023-0640
City of Edmonds
Park Impact Fee Worksheet
RECEIVED\ OV F -Afr
Jul 12 2023
CITY OF EDMONDS
DEVELOPMENT SERVICES _
DEPARTMENT
REVIEWED
BY
Name of Proposed Project: Koh Residence i BUILDING DEPARTMENT:
Current Site Address:15604 75th PI W, Edmonds WA 98026 Building Permit #: BLD TBD
Previous Site Address (if different):
Owner/Applicant: Jack Bader
Applicant Mailing Address: 3104 Western Ave, #107, Seattle, WA, 98121
Phone: (206) 204-0490 E-mail address:lack@motion-space.com
❑ New Commercial:
Square footage of all floor area: Description of use:
❑ Commercial Addition:
❑■
Square footage of all floor area: Description of use:
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 proposed:
❑ 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.) $
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 2 , 734 .05
LABuilding New Folder 2010\Forms\Park Impact Fee Worksheet JMS 2.docx