* Address of Violation (Specific address needed in order to investigate complaint):

Owner or Occupant of Property (If Known):

Complainant

Code Compliance officers are unable to investigate anonymous complaints. Your contact information is requested.

* For purposes of public disclosure (choose one):
OK to disclose
Do not disclose

NOTE: If you request confidentiality, the City will attempt to keep your identity confidential. However, if the City takes enforcement action, your attendance as a witness may be required at an enforcement or court hearing. If a public records request is made for your complaint, the City will remove your name and address from the complaint prior to disclosure. However, your complaint is a public record and this information may be subject to disclosure under the State Public Disclosure Act (RCW 42.46).

*First Name:
*Last Name:
*Mailing Address:
*City:
*State:
*Zip Code:
*Home Phone:
Work Phone:
*Email:

* Details of Complaint (Be specific as to time, duration, location of violation, identities of responsible parties, actions of parties, and nature of complaint):