WARNING! Please do not use this form to report issues of an emergency nature or for conditions requiring an immediate response. If your issue is an emergency, please use the telephone and dial 911.

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Use this form to report possible violations of the building code.

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Property location:

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Select which one applies to you:*

Owner Tenant

Other

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Type of violation:*

Electrical Plumbing HVAC Structural Other

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Provide a detailed description of violation:

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Your Information

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Name:

Business Name:

Street Number and Name:

Address Line 2:

City:

State:

Zip Code:

Phone Number:

Fax Number:

Email Address:

Preferred Contact Method:*

Do NOT contact me Email

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