Type
Email
Phone #
Begin typing address and select from the populated drop-down
If YES, please describe below what your establishment offers in terms of Vending and/or food service.
Application Type
Establishment Details
# of Units
Fire Department Approval received?
{[DEP]}
{[ADDR]}
{[CITY]}, {[STATE]} {[ZIP]}
(978) 538-5926
https://peabody-ma.gov/
ZIP
City
Establishment Name
How many units are attached to a Septic System?
{[PNAME]}
State
Building Inspection Approval received?
Address
Does the Establishment offer any vending and/or food service?
What type of sewage disposal is being used?
  • Contacts
  • Fees, Attachments and Certification
Full Name
Corporation Officer Details
Email
Phone #
Email
Phone #
ZIP
Full Name
Email
First Name
Phone #
Full Name
Manager Details
Phone #
Emergency Contact Details
Address
Business Owner Details
Last Name
Email
City
State
Type Full Name :
Sign With Hand
Preferred Payment Method?
Certification
If you need to make your payment by mail or in person, our office is located at:

{[CNAME]}
{[ADDR]}
{[CITY]}, {[STATE]} {[ZIP]}, {[APHONE]}

In order to receive your permit, you must first pay the above Application Fee.

If you'd like to pay now by Credit Card, Select Pay Now from the Preferred Payment Method click Pay Now button below.

Attachments
Application Type Fee
New Application $100
Late Renewal (Payable After December 31st as a late fee) $50
Please note: For online payments, a fee of 2.9% of the total amount due plus $0.30 per transaction will apply.
or
Fee
Signature
Pay Later
I further agree if the license is granted to me to abide by all rules and regulations, which the Peabody Board of Health may have, adopt or revise. Pursuant to M.G.L. Ch. 62C, sec. 49A, I certify under the penalties of perjury that I, to my best knowledge and belief, have filled all state tax returns and paid all state taxes required under law.
Total Fee
Pay By Credit Card
Please attach the Building Inspection approval.
Please attach the Fire Department approval.