This site requires Javascript be enabled.
To continue, please enable Javascript by following instructions specific to the browser you are using.
Tooele County Health Department
151 N. Main Street, Suite 140 - Tooele, UT 84074
Phone (435) 277-2440 Fax (435)277-2444
www.tooelehealth.org
Application for Temporary Body Art Establishment Permit
** Application and Permit Fee Schedule**
$15.00 per day, per booth, per location
Please put N/A for any fields that are not applicable
Event Name
Location
Event Coordinator
Phone Number
Booth Name
Booth Owner
Organization Name:
Address:
Address:
City:
State/Province:
ZIP/Postal Code:
Phone:
Email:
Booth Contact Person
Phone
Requested Permit Dates:
First Day
Last Day
Time of Operation:
From AM/PM
To AM/PM
What sanitation procedures will you be using at the event?
Will there be a hand sink at the temporary location?
Yes
No
Click here to upload additional documents if needed.
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.
Booth Fee Per Day Per Booth:
$15.00
Quantity:
Item Subtotal:
$0.00
*If you have multiple booths, you will need to complete an application for each booth.
Total:
$0.00
Payment Information:
Method of Payment:
Update Name from Personal/Organizational Information
Name on Account:
Routing Number:
Account Number:
Institution:
Name on Card:
Account Number:
Expiration Date:
Billing Street Address:
Billing ZIP/Postal Code:
Change Payment Method
I Agree
Applicant agrees that maintenance of a health permit is predicated on compliance with the Tooele County Health Department for Body Are Establishments. This permit is revocable for non-compliance.
Applicant's Signature
Date
Submitting ...
Cancel
SIP
© 2022
CORE Business Technologies
DBA Secure Instant Payments. All rights reserved.
~
Our Solutions
~
Privacy Policy
~
Contact Us
~
SIP Version 3.20.16078; (API: 2.21)