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2. Address
4. City
5. State
6. Zip Code
8. If you do not know the specific address, parcel information can be found through the Grant County GIS office maps.
10. An accurate address and/or parcel number is required.
    Grant County GIS Office Maps
12. Parcel Number
13. Property Owner
15. Name of Resident
16. Phone Number
18. How long has the condition existed?
20. Details of Complaint
22. File Upload
24. Your Name*
25. Email Address*
27. Your Address*
29. City*
30. State*
31. Zip Code*
33. Phone Number*
35. Confidentiality Preference
    Disclosure of information revealing your identity will depend on application of the public disclosure law, Chapter 42.56 Revised Code of Washington, other applicable statutes and whether the complaint is criminally prosecuted. Please indicate whether or not you desire information revealing your identity to be disclosed. Failure to initial will result in information being subject to disclosure.
37. By selecting Do Not Disclose I am indicating that the disclosure of my name would endanger my life, physical safety or property.*

    1. Do Not Disclose
    2. You May Disclose
39. Electronic Signature*
40. Signature Date*
    Signature Date
42. The violation must be visible from the public right of way. Or you must indicate that Code Enforcement may access your property to view the violation.
44. Permission to view code violation site from complainant's property?*

    1. Yes
    2. No
Leave This Blank:


46. 1. Receive an email copy of this form.
47. Email address

    This field is not part of the form submission.

48. Submit Submit and Print

* indicates a required field