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Tooele County Health Department
151 N. Main Street, Suite 140 - Tooele, UT 84074
Phone (435) 277-2440 Fax (435)277-2444
www.tooelehealth.org
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
If you have additional documents to send, please email them to eh@tooelehealth.org.
**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
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