Tooele Health Department
             
Tooele County Health Department
151 N. Main Street, Suite 140 - Tooele, UT 84074
Phone (435) 277-2440 Fax (435) 277-2444
Application for Body Art Facility Permit
Please put N/A for any fields that are not applicable
Facility Name
Organization Name:
Address:
Address:
City: State/Province: ZIP/Postal Code:
Phone:
Email:
Name of Business Owner
Phone Number
Street Address
Mailing Address (invoice/correspondence)
Applicant is
If partnership, list name and address of each partner
Are you 18 or older?
yes
no
Please email required forms to eh@tooeleco.gov
 
All applicants must provide:

Applicant agrees that maintenance of a health permit is predicated on compliance with the
Tooele County Health Regulations for Body Art Facilities.
This permit is revocable for non-compliance.
Permit is valid for one year from date of issue.
Applicant's Signature
BODY ART FACILITY PERMIT (Annual):   $100.00   Select:   Item Subtotal:  
$0.00
Late Fee If Applicable:   $   Item Subtotal:  
$0.00
Total:
$0.00

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