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Definitely get written permission. Since your birth parents are not available you should talk with your CW. It will probably depend on where this case is going as to whether or not she/he will give permission. Are you the prospective adoptive family, how old is the child, etc.
Chancey asked why you would want to get the procedure done so I wanted to add that for us (both myself and my FD's birth mom are Hispanic) it is very much a cultural thing. Birth mom asked me if I would pierce the baby's ears and since if this had been my own birth child I would not even think twice about it, I talked with our CW and took birth mom with us during a visit to have them pierced. FD was was 4 months old. Yes, it is cosmetic but for many Hispanics it's just how we do things. :)