HomeMy WebLinkAboutCOIN2019-1629 APR 2 ,6 2019 DATE OF ISSUANCE: I I II `
�i1�t9L1�i. 4. PERMIT#: t y i 0 q
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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: Derrick Rease
MANAGER'S ADDRESS: 2755 E. Grapevine Mills Circle, Grapevine, TX 76051
MANAGER'S PHONE NUMBER: (972) 691-3312
NUMBER OF COIN-OPERATED MACHINES:
60"illivideo&10 kiddie rides-SUP#SU01-07 allows skill/coin operated games in excess of 8 machines
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NUMBER OF BILLIARD TABLES: 0 CJ l a I I� — l /
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.
Maribel Alamillo l Qt h,.^ I10
PRINT NAME: SIGNATIIRE oI OYYNER cr MANAGER:
PHONE#: (972) 258-5481 EMAIL: malamillo @cecentertainment.com
THE FOLLOWING IS TO BE COMPLETED BY THE BUILDING INSPECTION DEPARTMENT
Code Enforcement A roval: ; 1y 1-t i JrNJd t Date: tr 7_ FEE: $50.00
Director's Approval: Date:
Comments:
■ Permit expires December 31M 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
0 FORMSIDSAPPLICATIONSICUn Op
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COIN-OPERATED MACHINE LICENSE
PID A D 1I1'Aif7 Issue Date:May 1,2019
"7Tlitla` [ x S PROJECT DESCRIPTION:Coin-Op(60 skill/video 8 10 kiddie rides)"Chuck E Cheese's"
PROJECT# (817)410-3010 WWW.mygov.us
COIN-19-1629 Inspections Permits
City of Grapevine
LOCATION TENANT LEGAL
P.O.Box 95104 2755 E Grapevine Mills Cit. Chuck E Cheese Gra evine Mills Addition Blk 2
Grapevine,TX 76099 P
Grapevine,TX 76051 Lot 5
(817)410-3165 Voice Chuck E Cheese
(817)410-3012 Fax
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 0412512019 ($50.00)
OWNER Note:ck4740048
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
MYGOV.US City of Grapevine I COIN-OPERATED MACHINE LICENSE I COIN-19-16291 Printed 05/01119 at 8:44 a.m. Page 1 of 2