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 firstname.lastname@example.org.
Is this for a Mobile Body Art Establishment?
If yes, please email
with dates and locations of each event. Pictures of the space used for the events must also be emailed.
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):
MOBILE BODY ART ESTABLISHMENT PERMIT(Annual):
Temporary Event Permit (per day/per event):
Late Fee If Applicable:
'Please Select Method of Payment to Continue'
Method of Payment:
Update Name from Above
Name on Account:
Name on Card:
Billing Street Address:
Billing ZIP/Postal Code:
Change Payment Method
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