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Request for Action Reporting Party Violating Property City of Puyallup Development Services Department 333 S Meridian ■ Puyallup, WA 98371 Phone (253) 770‐3327 ■ Fax (253) 840‐6678 Date Name Address Phone Parcel (if known) Name Address Phone DESCRIPTION OF VIOLATION: Provide as much information as possible ‐ continue on the back if necessary. PLEASE NOTE: THE CITY OF PUYALLUP MAY BE REQUIRED TO RELEASE THIS DOCUMENT PURSUANT TO PUBLIC DISCLOSURE (RCW 42.17) AND/OR PURSUANT TO COURT ORDER. □ Please indicate by checking the box that you wish to remain anonymous. By leaving the above box unchecked, you have indicated that all of the information contained in this form may be disclosed, including the reporting party name. Please read the statement below. RCW 42.56.240(2) Investigative, Law Enforcement and Crime Victims The following investigative, law enforcement and crime victim information is exempt from public inspection and copying under this chapter: … Information revealing the identity of persons who are witnesses to or victims of crimes or who file complaints with investigative, law enforcement, or penology agencies, other than the commission, if disclosure would endanger any person’s life, physical safety , or property. If at the time a complaint is filed the complainant, victim, or witness indicates a desire for disclosure or nondisclosure, such desire shall govern. However, all complaints filed with the commission about any elected official or candidate for public office must be made in writing and signed by the complainant under oath.