2. Code Category for Proper Notification to Investigator*

   1. Nuisance Property (Weeds, Trash, etc.)
   2. Unsafe Structure
   3. Fire Hazard

   1. Occupancy or Land Use
   2. Unknown or Other
4. Address or Location Description of Violation*
6. Details of Complaint*
   Be specific as to time, duration, location of violation, identities of responsible parties, actions of parties, and nature of complaint.
8. Owner or Occupant of Property (If Known)
10. Complainant Information
    Code Compliance Officers would like your information so that they can follow up with you. You do not have to provide it to make a complaint. Washington State public disclosure laws may require that your information be given out when requested. You may request non-disclosure at the time of your complaint in accordance with RCW 42.56. However, each case will have to be evaluated on an individual basis and there is no guarantee that your information in whole or in part will remain anonymous.
12. Name
13. Email Address
15. Address
17. City
18. State
19. Zip Code
21. Phone Number for Contact
22. For Purposes of Public Disclosure

    1. Okay to disclose
    2. Do not disclose
Leave This Blank:


24. 1. Receive an email copy of this form.
25. Email address

    This field is not part of the form submission.

26. Submit Submit and Print

* indicates a required field