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Complaint Investigation Request

Instructions: To initiate an investigation, completely fill out this form and click on the submit button. Note: Incomplete complaint forms will not be processed.

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Identification of problem

Address:
(Specific address needed in order to investigate complaint)

Occupant/Business:

City/State/Zip:

Phone Number:

Enter a valid phone number. Example: 123-456-7890

Does this complaint involve a permit or license issued by the City of Kirkland?

If yes, please specify permit number and type.

Details of Complaint (Be specific as to time, duration, location of violation, identities of responsible parties, actions of parties, and nature of complaint).

Complainant

Name:

Phone Number:

Enter a valid phone number. Example: 123-456-7890

Address:

City/State/Zip:

E-mail Address:

Enter a valid email address. Example: name@company.com

Has this complaint been reported previously?

If yes, by whom and to whom specifically was the complaint reported?

What action resulted from the complaint?

Would you like to be contacted to know the kind of action that will be taken?

Have you or your neighbors spoken with the individual(s) in question in order to resolve the problem?

This complaint will constitute a public record upon submittal to the City and may be subject to disclosure under the public records act (RCW 42.56)."

Planning & Building Department
123 5th Avenue, Kirkland WA 98033

General Inquiries:
Building Questions
Building_Services@kirklandwa.gov
Planning Questions
PlanningInfo@kirklandwa.gov
T. 425.587.3600 | F. 425.587.3232

Complaint Investigation Request

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