Lake County Indiana Health Department Certification / /
Organization
Whiting Municipal Code authority / Fire Code authority / Indiana Occupational Safety and Health Administration / Whiting Municipal/Building Code authority / /
Position
Clerk-Treasurer / OWNER/MANAGER / PRESIDENT / Manager / MANAGER OF ESTABLISHMENT / WHITING FIRE INSPECTOR / Zip Cellular Phone Number &/or Pager Number GENERAL BUSINESS INFORMATION / /
CITY OF WHITING TATTOO & BODY PIERCING REGISTRATION LICENSE APPLICATION YEAR__________ (TO BE COMPLETED BY OWNER/MANAGER OF ESTABLISHMENT)