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 Establishment Permit
Please put N/A for any fields that are not applicable
Name of Business Owner
Mailing Address (invoice/correspondence)
If partnership, list name and address of each partner
If you have additional documents to send, please email them to email@example.com.
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.
BODY ART ESTABLISHMENT PERMIT (Annual):
Late Fee If Applicable:
'Please Select Method of Payment to Continue'
Method of Payment:
Update Name from Personal/Organizational Information
Name on Account:
Name on Card:
Billing Street Address:
Billing ZIP/Postal Code:
Change Payment Method
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