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Application for Permit to Practice Body Piercing/Tattooing or Provide an Establishment for the Practice of Body Piercing/Tattooing

  1. No permit will be issued until payment has been received in full by the City of Gardner Health Department according to the fee schedule listed below.

  2. If required

  3. Is your facility equipped with sinks/basins with hot and cold running water?

  4. Does your facility have an autoclave, which can operate at 273 degrees Fahrenheit under 20 PSI pressure for 30 minutes?

  5. I verify that I have read the Gardner Board of Health "Body Piercing Regulations", and have had an opportunity to ask questions, and agree to abide by it. In addition, pursuant to MGLc 62C, S49A, I certify under the penalties of perjury that I, to the best of my knowledge and beliefs, have filed all state tax returns, and paid all state taxes required under law.

  6. No permits will be issued until payment has been received in full and processed by the City of Gardner Health Department. All checks must be made out to "City of Gardner" and sent to Gardner Board of Health, Gardner City Hall Rm 29, 95 Pleasant St. Gardner, MA 01440

  7. Practice Body Piercing: $100; Tattoo Artist: $100; Provide Establishment for Practice of Body Piercing: $200; Provide Establishment for Practice of Tattooing: $200

  8. Leave This Blank:

  9. This field is not part of the form submission.