Code Violation Complaint

2. Date
   Date

6. Details of Violation

8. Alleged Violator Name

9. 1. Owner
   2. Tenant

11. Violation Address/Location*

13. Please describe the violation*

15. Public Disclosure
    Under the provisions of the Public Disclosure Law, RCW 42.56.240(2), the complainant may indicate a desire for disclosure or non-disclosure of their identity. If non-disclosure is chosen, the complainant information will not be released to the public. Please note that if this case is filed in court, your name must be disclosed IF you are to be a witness in the case.

    Under the provisions of the Public Disclosure Law, RCW 42.56.240(2), the complainant may indicate a desire for disclosure or non-disclosure of their identity. If non-disclosure is chosen, the complainant information will not be released to the public. Please note that if this case is filed in court, your name must be disclosed IF you are to be a witness in the case.

19. Complainant Information
    The City of Snohomish investigates possible violations on a complaint basis only. Therefore, the name of the person filing the complaint must be provided

    The City of Snohomish investigates possible violations on a complaint basis only. Therefore, the name of the person filing the complaint must be provided

21. First Name*

22. Last Name*

24. Phone Number

25. Email Address

27. Address

29. City

30. State

31. Zip

33. Please select one

    1. You may disclose my identity if requested
    2. You may NOT disclose my identity without my permission

Leave This Blank:


35. 1. Receive an email copy of this form.
36. Email address

    This field is not part of the form submission.

37. Submit

* indicates a required field