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City of Edmonds, 121 5"' Ave N / 425-771-0220
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Name of Proposed Project 14 / ),"W 1,5
Current Site Address 51 (D A Ve Building Permit BLD ;? .,e)
Previous Site Address (if different)
KA ort ett IkA 1) 02)
Owner/Applicant P I A �r I 6A, Al iki-1,1e ,A -v rc ( We 644 - t ,u , il / -
0110"I't,
Applicant Mailing Address 11 701f AID
Phone 4�ei2) Email
Type of proposed development (select one):
New Commercial
Description of use
El Commercial Addition
Description of use
Square footage of all floor area
4111'wa-( -fir.10 sp
// e!4 kc
Square footage of additional floor area,
1:1 New Single Family
Does this new residence replace an existing residence demolished within previous 12 months?
(SFR building permit must be issued within 12 months of issuance of demo permit.) Y / N
Demo permit # BLD
El New Multifamily
El Multifamily Addition
Date issued
Number of dwelling units proposed
Number of existing dwelling units
Number of dwelling units proposed,
El Exempt from PI fee (Low income, or other per ECC 3.36.040. Provide additional documentation.)
El Credit (For off-site improvement, etc. per ECC 3.36.050.) $
For City Use Only Calculate fee here
Total Fel,"�IIOPV 11"'/
Created 1012013
FEE RATES
Type of Development
Unit
10/1/13 Impact Fee per Unit
10/1/14 Impact Fee per Unit
Single Family
dwelling unit
$1367.03
$2734.05
Multifamily
dwelling unit
$1170.06
$2340.16
Non-residential
sq. ft.
$0.67
$1.34
For City Use Only Calculate fee here
Total Fel,"�IIOPV 11"'/
Created 1012013