HomeMy WebLinkAboutCOIN2018-1850 PAY 5 j
DATE OF ISSUANCE:
�sg&taP VllVl'e PERMIT#: 164950
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T 9 X A Y
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'SNAME: Cynthia Stripsky
MANAGER'S ADDRESS: 2755 E. Grapevine Mills Circle, Grapevine, TX 76051
MANAGER'S PHONE NUMBER: (972) 691-3312
NUMBER OF COIN-OPERATED MACHINES: 60 skill/video&10 kiddie rides-SUP#SU01-07 allows skill/coin operated games in excess of B 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. �n
Maribel Alamillo d It u_bd� `I10
PRINT NAME: SIGNATURE of OWNER or MANAGER:
PHONE#: (972) 258-5481 EMAIL:
THE FOLLOWING IS TO BE COMPLETED BY THE BUILDING INSPECTION DEPARTMENT
Code Enforcement A proval: Date: S FEE: $50.00
Director's Approval: V Date:
Comments:
■ Permit expires December 3V of each year.
Development Services Department
The City of Grapevine * P-O. Box 95104 * Grapevine, Texas 76099 (817)410-3165
Fax (817)410-3012 www.grapevinetexas.gov
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5122N1/10I10/15
City of Grapevine
P.O. Box 95104
Grapevine, TX 76099
(817) 410-3165 Voice
(817) 410-3012 Fax
COIN-OPERATED MACHINE LICENSE
Issue Date: May 14, 2018
PROJECT DESCRIPTION: (60) Skill / Video, (1) Kiddie Rides - SUP #SU01-07 Allows Skill / Coin Operated
Games in Excess of (8) Machines "Chuck E. Cheese's #854"
PROJECT #
COIN-18-1850
(817) 410-3010
Inspections
www.mygov.us
Permits
LOCATION TENANT LEGAL
2755 E Grapevine Mills Cir.
Grapevine, TX 76051
Chuck E Cheese Grapevine Mills Addition Blk 2
Lot 5
Chuck E Cheese
CONTRACTOR
Maribel Alamillo
2755 E. Grapevine Mills Circle
Grapevine, TX 76051
(972) 258-5481 Phone
OWNER
National Retail Properties Lp
FEES TOTAL =$ 50.00
Coin-Operated Machines Fee $ 50.00
PAYMENTS TOTAL = $ 50.00
Maribel Alamillo (Applicant Coin-Operated Machine
License)
Check on 05/14/2018
Note: CK442167
($50.00)
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
MYGOV.US City of Grapevine | COIN-OPERATED MACHINE LICENSE | COIN-18-1850 | Printed 10/07/20 at 9:09 a.m. Page 1 of 2