Tooele County Health Department
151 N. Main Street, Suite 140 - Tooele, UT 84074
Phone (435) 277-2440 Fax (435)277-2444
Application for Massage Establishment Permit
Please put N/A for any fields that are not applicable
Name of Business Owner
Mailing Address (invoice/correspondence)
Applicant's Phone Number
If partnership, list name and address of each partner:
If you have additional documents to send, please email them to firstname.lastname@example.org.
Applicant agrees that maintenance of a health permit is predicated on compliance with the Tooele County Health Department Regulations for Massage Establishments. This permit is revocable for non-compliance. Permit is valid for one year from date issued.
Signature of Applicant
Massage Establishment Permit:
'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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