Author: Coombs, Rhonda

VIGO COUNTY HEALTH DEPARTMENT
147 OAK STREET
TERRE HAUTE, INDIANA 47807

Annual Permit
Seasonal Permit

HEREBY ISSUES AN OPERATING PERMIT FOR:

Public Swimming Pool Facility

Name of Facility: ABC Pool
Address: 123 Water Slide Way
Name of owner: Johnny BeGood

For the purpose of operating a Public Swimming Pool Facility according to 410 IAC 6-2.1 and the terms and definitions of the Vigo County Public Swimming Pool Facility Ordinance, Vigo County Code Chapter .

Permit expires April 30, 2020
Permit may be revoked upon violation of the holder of any of the terms in the above mentioned ordinance.
Permit shall not be sold, assigned, loaned, or transferred.

PERMIT NUMBER: 2019 DATE ISSUED:
LICENSE FEE PAID: APPROVED:
VIGO COUNTY HEALTH COMMISSIONER

V.C.H.D. 5/19