HomeMy WebLinkAboutCOIN2020-3633 OCT 07 zozo DATE OF ISSUANCE: /O
PERMIT#: ao-22)4O3 3
COIN-OPERATED MACHINE LICENSE APPLICATION
PERMIT FEE: $50.00
THE UNDERSIGNED HEREBY APPLIES FOR A COIN-OPERATED MACHINE REQUEST FOR
THE BUSINESS AS HEREINAFTER DESCRIBED:
BUSINESS NAME: Chuck E. Cheese's #854
ADDRESS OF BUSINESS: 2755 E. Grapevine Mills Circle, Grapevine, TX 76051
BUSINESS OWNER: CEC Entertainment, Inc.
BUSINESS PHONE NUMBER: (972) 254-5481
MANAGER'S NAME: Ricci Niziol
MANAGER'S ADDRESS: 2755 E. Grapevine Mills Circle, Grapevine, TX 76051
MANAGER'S PHONE NUMBER: (972) 691-3312
NUMBER OF COIN-OPERATED MACHINES: 00 skiiUvideo s,10 kiddie rides-SUP#su01-07 aiiows skiiilcoin operated games in excess of 0 machines
NUMBER OF BILLIARD TABLES: 0
THIS PERMIT IS VALID FOR A MAXIMUM OF SEVEN(7)COIN-OPERATED MACHINES. A SPECIAL USE PERMIT
APPROVED BY THE CITY COUNCIL IS REQUIRED FOR A POOL TABLE, A BILLIARD TABLE OR FOR MORE
THAN SEVEN(7)COIN-OPERATED MACHINES.
I HEREBY CERTIFY THAT THE FOREGOING IS CORRECT TO THE BEST OF MY KNOWLEDGE AND THAT THE
SAID OCCUPANCY IS IN CONFORMANCE WITH THE INFORMATION HEREIN SET FORTH AND IN
COMPLIANCE WITH THE CITY OF GRAPEVINE CODES. 1
Maribel Alamillo U r� ` ( i I U ,u
PRINT NAME: SIGNATURE of OWNER or MANAGER:
PHONE#: (972) 258-5481 EMAIL:
11 THE FOLLOWING IS TO BE COMPLETED BY THE BUILDING INSPECTION DEPARTMENT
Code Enforcement A royal: /� ` Date: %c' G'� Zvi FEE: $50.00
Director's Approval: Date:
Comments:
■ Permit expires December 3V of each year.
Development Services Department
The City of Grapevine * P.O. Box 95104 * Grapevine, Texas 76099 * (817)410-3165
Fax(817)410-3012 * www.grapevinetexas.gov
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p�►) ` �' COIN-OPERATED MACHINE LICENSE
;G.illA Y�)E Issue Date:October 9,2020
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1 PROJECT DESCRIPTION:Coin-Op(60 skill/video&10 kiddie rides)"Chuck E Cheese's"
PROJECT# (817) 410-3010 WWW.mygov.us
COIN-20-3633 Inspections Permits
City of Grapevine
LOCATION TENANT LEGAL
Grapevine,
P.O.Box ,TX Voice 2755 E Grapevine Mills Cir. Chuck E Cheese Grapevine Mills Addition Blk 2
16 Voice Grapevine,TX 76051 Lot 5
(8W))410-3012 Fax
(8 410-3 Chuck E Cheese
1712
CONTRACTOR FEES TOTAL=$50.00
Chuck E Cheese's
2755 E Grapevine Mills Circle Coin-Operated Machines Fee $50.00
Grapevine,TX 76051 PAYMENTS TOTAL=$50.00
(972)691-3312 Phone
Chuck E Cheese's(COIN-OP APPLICANT)
Check on 1010712020 ($50.00)
OWNER Note: CK506878
National Retail Properties Lp READ AND SIGN
I hereby certify that the foregoing is correct to the best of my knowledge and that
the said occupancy is in conformance with the information herein set forth and In
compliance with the City of Grapevine Codes.
Signature Date
OWNER/AGENT
Owner/Agent Signature Date