Tooele Health Department
             
Tooele County Health Department
151 N. Main Street, Suite 140 - Tooele, UT 84074
Phone (435) 277-2440 Fax (435)277-2444
eh@tooelehealth.org
Swimming Pool/Spa (Hot Tub)  Permit

Please put N/A for any fields that are not applicable

Facility Name
Facility Address
Phone Number
Owner / Manager
Mailing Address
Phone Number
Email Address

Operating
Seasonal
Year Round
Certified Pool Operator
CPO #
Date Issued
Date Expires

**PLEASE EMAIL A COPY OF THE CERTIFIED POOL OPERATORS CERTIFICATE TO eh@tooelehealth.org**

Applicant agrees that maintenance of a health permit is predicated on compliance with Utah Code R392-302 (Swimming pool design, construction and operation of public pools). This permit is nontransferable and revocable for noncompliance. Permit is valid for one year from date of issue.
Signature
Date

 
Invoice Amount:   $   Item Subtotal:  
$0.00
Total:
$0.00
Payment Information:
Method of Payment:
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Name on Account:
Routing Number:
Account Number:
Institution:
Name on Card:
Account Number:
Expiration Date:
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