According to the North Dakota Department of Health, tattoo and body art facilities must be licensed establishments and have a permit to conduct such activity. Additionally, these establishments are inspected to make sure they meet both sanitation and safety standards before opening to the public.
Further inspections are conducted while the business is in operation to ensure these standards are maintained. If a business fails an inspection, it can lose its license to operate. These inspections are conducted by the Division of Food and Lodging. The permit that is obtained through the Division of Food and Lodging for tattooing expires annually. A person must submit a new application and pay a fee to obtain a new permit each year.