Fillable PROJECT/PROPERTY INFORMATION OWNER/APPLICANT INFORMATION City of South Bend (City of South Bend WA)

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PROJECT/PROPERTY INFORMATION OWNER/APPLICANT INFORMATION City of South Bend (City of South Bend WA)

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Agricultural Building Permit Information
City of South Bend
P.O. Drawer 9, South Bend, WA 98586
(360) 875-5571 FAX (360) 875-4009
www.southbend-wa.gov
OFFICE USE ONLY
PROJECT/PROPERTY INFORMATION
Tax Parcel ID #:
Project Value:
OWNER/APPLICANT INFORMATION
Owner:
Applicant:
Contractor:
AG BUILDING INFORMATION – Failure to provide complete information will lead to a rejection of
your permit application
1. Will this structure or any portion thereof be used for any purpose other than storing farm/agricultural
implements? YES NO If Yes, please explain:
2. Will this structure or any portion thereof be used for processing agricultural/aquacultural/forestry products
such as cranberries, salal, shellfish, fruits, vegetables, hay, meats, forestry products, etc? YES NO
If Yes, please explain:
3. Wil
l this structure or any portion thereof be used as a place of employment? YES
If Yes, please explain:
4. Will this structure or any portion thereof be used to store agricultural/aquacultural/forestry products such
as cranberries, salal, shellfish, fruits, vegetables, hay, meats, forestry products, etc? YES NO
If Yes, please explain:
5. Will this structure or any portion thereof have any plumbing that will be used for the washing, cleaning or
curing of fruits, vegetables, meats, shellfish, forest products, etc? YES NO
If Yes, please explain:
6. Will vehicles other than farming equipment be stored in the proposed structure such as Boat, RV, ATV, Car,
Truck, Trailer, etc? YES NO
If Yes, please explain:
7. Explain
the agricultural activity occurring at the site that the proposed building will be used for:
Agricultural Buildings
Agricultural Buildings, as defined in the International Building Code: A structure designed and constructed
to house farm implements, hay, grain, poultry, livestock and other horticultural products. This structure
shall not be used for human habitation or a place of employment where agricultural products are
processed, treated or packaged nor shall it be a place used by the public. Additionally, the City of South
Bend recognizes that certain buildings used for mariculture are exempt from the full permit process. These
buildings shall not be used for human habitation or a place of employment where mariculture products are
processed, treated or packaged nor shall it be a place used by the public. These buildings shall be issued an
exempt City of South Bend Building Permit as long as the following requirements are met.
1. Must meet all applicable building codes
2. City of South Bend Development Application, Building Application, Planning Application and site
plan are required in addition to this form
3. Washington State Electrical Permits are required if application (L & I 360-575-6922)
4. One-story structures may be limited to 4,400 square feet in area.
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PROJECTPROPERTY INFORMATION OWNERAPPLICANT INFORMATION City of South Bend (City of South Bend WA)

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Completed 13 August 2021

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