City of Spokane

808 W Spokane Falls Blvd Code Enforcement Property Inspec on Request

Spokane WA 99201 *DO NOT USE THIS FORM FOR PARKING VIOLATIONS*
Phone: (509) 755-2489

This request pertains to the address at: ___________________________________________________________

If you do not know the exact address, please be as descrip ve as possible__________________________________

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Typical Code Enforcement Viola ons: Garbage, Graffi , Right of Way Obstruc on, Zoning Viola ons, Junk Vehicles, Fire Hazard

Property Inspec on request details or comments: (What do you see?)

Requester informa on (Please print):

Your name:__________________________________________Phone:______________________________________
Your address:______________________________________City & Zip______________________________________

Email address:________________________________________

Permission to view from your property: Yes______________ No_________________

Confiden ality preference: Disclosure of informa on revealing your iden ty will depend on applica on of the public disclosure law, chapter
42.56RCW, other applicable statutes and whether any viola ons are criminally prosecuted.

Ini aling below indicates whether you desire informa on revealing your iden ty be disclosed. Failure to ini al will result in informa on being
subject to disclosure. By ini aling Do Not Disclose, I am indica ng that the disclosure of my name would endanger my life , physical safety or
property.

Ini al____________Do Not Disclose Ini al____________You May Disclose

Signature:________________________________Date:____________________