Suspected Code Violation Resources

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FN:Stephanie Wile
ORG:City of Salem
TITLE:Code Compliance Officer
TEL;WORK;VOICE:(503) 589-2056
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Salem, OR 97301-3513
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REV:20130518T200349Z
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CITY

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SUSPECTED CODE VIOLATION

This form is used to report a suspected code violation to the City of Salem Code Compliance Division. Please give as much information as possible and give the form to the Neighborhood Chairperson for submittal.

DATE:	NEIGHBORHOOD ASSOCIATION:
Your Information: (Please Print) Last Name: First Name: Street Address: Phone Number (home or work):
E-mail Address:

Violation Information:

Violation Address: (If exact address is not known, explain) --------- Explain the Suspected Violation:

If violation is a vehicle, please provide the following:

Location:-------------------------

Make: ------- Model: --------- Color: -----

License Plate Numbe -------------------

COMPLIANCE SERVICES • 503-588-6421

555 Liberty St. SE I Room 305 •Salem, OR 973.01-3513 •Fax (503) 315-2571