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.
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
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