Code Compliance Complaint

Date
MM slash DD slash YYYY
Type of Violation (select one) * Required
- Building Code
- Fire Code
- Public Works
- Zoning Code
- Signs
- Public Nuisance
- Other
If you checked 'Other', please indicate the type of violation
Violation Description * Required
Address of Problem Area * Required
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Tax Parcel Number
Nearest Intersection
Reporter's Name * Required
First Last
Reporter's Address * Required
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Email * Required
Phone * Required
Do you wish to remain anonymous? (The information on this form and associated documents may be considered public records and subject to public disclosure laws per RCW 42.56
- Yes
- No