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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. Code section

    Please list the section(s) of the Snohomish Municipal Code (SMC) that is the subject of the alleged violation.

19. Contact
21. 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

23. First Name*
24. Last Name*
26. Phone Number
27. Email Address

    Only by providing an email address will the City be able to keep you informed about the status of your complaint.

29. Address
31. City
32. State
33. Zip
35. 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.  To request non-disclosure of your identity, state your preference in the description of the violation.

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37. 1. Receive an email copy of this form.
38. Email address

    This field is not part of the form submission.

39. Submit

* indicates a required field