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Tattoo Application


Source: www.wakegov.com
Topic: Tattoo

Sort Desciption: To allow tattoo artists to apply for tattooing permits as required in General Statute ... Preparation: Each tattoo artist must complete and sign a separate ...

Content Inside: N. C. Department of Environment, Health, and Natural Resources Division of Environmental Health APPLICATION FOR TATTOOING PERMIT 1. Date of Application: __________________________ 2. Tattoo Artist Information: Name: First _______________________ Last _____________________ MI_____ Mailing Address: _____________________________________________________ City __________________________________State____________Zip___________ Telephone Number ( )________________________ 3. Tattoo Establishment Information: Name of Establishment: ________________________________________________ Street Address: _______________________________________________________ Business Hours: ______________________________________________________ Number of tattoo artists in establishment: __________________________________ 4. Anticipated Date to Begin Tattooing: ______________________________________ 5. Tattoo Artist Signature: ________________________________________________ INSTRUCTIONS Purpose: To allow tattoo artists to apply for tattooing permits as required in General Statute 130A-283 and 15A NCAC 18A .3202. Preparation: Each tattoo artist must complete and sign a separate application for each location where he or she will engage in tattooing within the State of North Carolina. The completed application must include the full name, mailing address and signature of the tattoo artist, the name and street address of the tattoo establishment, and the anticipated date of commencing operation. Submission: The completed application must be submitted to the local health department in the county where the tattoo establishment is located at least 30 days before commencement of operation. The local health department may require payment of fees or additional information upon submission of the application. Disposition: This form may be destroyed in accordance with Standard 7 of the Records Disposition Schedule published by the N. C. Division of Archives and History.




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