BOH 10-24-16 SUMMARY OF WAIVERS.XLSX
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Fee Waiver BOS Summary Sheet Submitted to Finance on 10-27-16 Item # Administrative Name Business Requested Fee Administrative Address Permit # Permit Type Class Waiver Approved (Approved/Denied) Previous Paid (Yes/No) P1-Oct-16 Saint Mary's Food Bank Alliance Saint Mary's Food Bank Alliance $ 1,030.00 2831 N. 31st Ave., Phoenix, AZ 85009 FD-16515 E & D 10+ 4 Approved Saint Mary's Food Bank Alliance Saint Mary's Food Bank Alliance $ 255.00 2831 N. 31st Ave., Phoenix, AZ 85009 FD-16455 Food Jobber 2 Approved Saint Mary's Food Bank Alliance Saint Mary's Food Bank Alliance $ 620.00 2831 N. 31st Ave., Phoenix, AZ 85009 FD-00136 Damaged Foods 4 Approved Saint Mary's Food Bank Alliance Saint Mary's Food Bank Alliance $ 260.00 2831 N. 31st Ave., Phoenix, AZ 85009 FD-06456 Food Processor 2 Approved P1-Oct-16 Total $ 2,165.00 P2-Oct-16 National Advocacy & Training Network Cup O'Karma Café Chandler $ 315.00 PO Box 51357, Phoenix, AZ 85076-1357 FD-36494 E & D 10+ 2 Approved P2-Oct-16 Total $ 315.00 P3-Oct-16 Phoenix Gospel Mission Changing Lives $ 760.00 1801 S. 35th Ave., Phoenix, AZ 85009 FD-31511 Boarding Home 5 Approved Phoenix Gospel Mission Phoenix Gospel Mission $ 760.00 1801 S. 35th Ave., Phoenix, AZ 85009 FD-04499 Boarding Home 5 Approved P3-Oct-16 Total $ 1,520.00 P4-Oct-16 Tolleson Food Bank Tolleson Food Bank $ 260.00 PO Box 1396, Tolleson, AZ 85353 FD-41841 Food Bank 2 Approved P4-Oct-16 Total $ 260.00 P5-Oct-16 Society of St Vincent de Paul St Thomas Aquinas Church $ 255.00 PO Box 13600, Phoenix, AZ 85002-3600 FD-18849 Food Jobber 2 Approved Society of St Vincent de Paul St Williams Conference $ 255.00 PO Box 13600, Phoenix, AZ 85002-3600 FD-18850 Food Jobber 2 Approved Society of St Vincent de Paul St Martin de Porres $ 255.00 PO Box 13600, Phoenix, AZ 85002-3600 FD-18851 Food Jobber 2 Approved Society of St Vincent de Paul St Augustine Conference $ 255.00 PO Box 13600, Phoenix, AZ 85002-3600 FD-18854 Food Jobber 2 Approved Society of St Vincent de Paul St Benedict Conference $ 255.00 PO Box 13600, Phoenix, AZ 85002-3600 FD-18210 Food Jobber 2 Approved Society of St Vincent de Paul St Vincent de Paul Conference $ 255.00 PO Box 13600, Phoenix, AZ 85002-3600 FD-18215 Food Jobber 2 Approved Society of St Vincent de Paul Sacred Heart Conference $ 255.00 PO Box 13600, Phoenix, AZ 85002-3600 FD-18219 Food Jobber 2 Approved Society of St Vincent de Paul St Thomas the Apostle Conference $ 255.00 PO Box 13600, Phoenix, AZ 85002-3600 FD-18222 Food Jobber 2 Approved Society of St Vincent de Paul Oznam Manor $ 760.00 PO Box 13600, Phoenix, AZ 85002-3600 FD-00165 Boarding Home 5 Approved Society of St Vincent de Paul St Mary Basilica Conference $ 255.00 PO Box 13600, Phoenix, AZ 85002-3600 FD-18224 Food Jobber 2 Approved Society of St Vincent de Paul Our Lady of Mount Carmel Conference $ 255.00 PO Box 13600, Phoenix, AZ 85002-3600 FD-18211 Food Jobber 2 Approved Society of St Vincent de Paul St Anthony of Padua Conference $ 255.00 PO Box 13600, Phoenix, AZ 85002-3600 FD-14956 Food Jobber 2 Approved P5-Oct-16 Total $ 3,565.00 P6-Oct-16 Neiborhood Ministries Neiborhood Ministries $ 1,030.00 1918 W. Van Buren St., Phoenix, AZ 85009 FD-06044 E & D 10+ 4 Approved P6-Oct-16 Total $ 1,030.00 P7-Oct-16 St Anthonys St Anthony Church $ 1,030.00 909 S. 1st Ave., Phoenix, AZ 85003 FD-09149 E & D 10+ 4 Approved P7-Oct-16 Total $ 1,030.00 P8-Oct-16 Foothills Food Bank Foothills Food Bank $ 260.00 PO Box 715, Carefree, AZ 85377 FD-32247 Food Bank 2 Approved P8-Oct-16 Total $ 260.00 P9-Oct-16 Phoenix Center for Blind Inc. Arizona Center for Blind $ 1,030.00 3100 E. Roosevelt, Phoenix, AZ 85008 FD-00041 E & D 10+ 4 Approved P9-Oct-16 Total $ 1,030.00 Special Event- The Big Event 2016 on May 7, P10-Oct-16 Boys and Girls Club of Metropolitan Phoenix 2016 $ 85.00 4309 E. Belleview, Phoenix, AZ 85008 FD-51517 Temporary Approved Special Event- The Big Event 2016 on May 7, Boys and Girls Club of Metropolitan Phoenix 2016 $ 85.00 4309 E. Belleview, Phoenix, AZ 85008 FD-51518 Temporary Approved Special Event- The Big Event 2016 on May 7, Boys and Girls Club of Metropolitan Phoenix 2016 $ 85.00 4309 E. Belleview, Phoenix, AZ 85008 FD-51519 Temporary Approved Special Event- The Big Event 2016 on May 7, Boys and Girls Club of Metropolitan Phoenix 2016 $ 85.00 4309 E. Belleview, Phoenix, AZ 85008 FD-51520 Temporary Approved Special Event- The Big Event 2016 on May 7, Boys and Girls Club of Metropolitan Phoenix 2016 $ 85.00 4309 E. Belleview, Phoenix, AZ 85008 FD-51521 Temporary Approved P10-Oct-16 Total $ 425.00 P11-Oct-16 Andre House of AZ Inc Andre House Jackson St $ 1,030.00 PO Box 2014, Phoenix, AZ 85001 FD-00185 E & D 10+ 4 Approved P11-Oct-16 Total $ 1,030.00 P12-Oct-16 United Food Bank United Food Bank $ 255.00 245 S. Nina Dr., Mesa, AZ 85210 FD-03353 Food Jobber 2 Approved United Food Bank United Food Bank $ 260.00 245 S. Nina Dr., Mesa, AZ 85210 FD-16482 Food Bank 2 Approved P12-Oct-16 Total $ 515.00 P13-Oct-16 Saguaro Jane's Corp Wittmann Community Center $ 260.00 PO Box 151, Wittmann AZ 85361 FD-08222 Food Bank 2 Approved Saguaro Jane's Corp Wittmann Community Center $ 315.00 PO Box 151, Wittmann AZ 85361 FD-07377 E & D 10+ 2 Approved P13-Oct-16 Total $ 575.00 P14-Oct-16 The Cultrual Cup Food Bank Inc The Cultrual Cup Food Bank $ 260.00 342 E. Thomas Rd., Phoenix, AZ 85012 FD-51285 Food Bank 2 Approved P14-Oct-16 Total $ 260.00 P15-Oct-16 Peoria Unified School District #11 Centennial Marketing Store $ 235.00 6330 W. Thunderbird Rd., Glendale, AZ 85306 FD-29240 Retail Food 2 Approved Peoria Unified School District #11 Peoria High School Marketing Store $ 235.00 6330 W. Thunderbird Rd., Glendale, AZ 85306 FD-29238 Retail Food 2 Approved Peoria Unified School District #11 Liberty Marketing Store $ 235.00 6330 W. Thunderbird Rd., Glendale, AZ 85306 FD-29202 Retail Food 2 Approved Peoria Unified School District #11 Raymond S. Kellis Marketing Store $ 235.00 6330 W. Thunderbird Rd., Glendale, AZ 85306 FD-29249 Retail Food 2 Approved Peoria Unified School District #11 Sunrise Mountain Marketing Store $ 235.00 6330 W. Thunderbird Rd., Glendale, AZ 85306 FD-29184 Retail Food 2 Approved Peoria Unified School District #11 Ironwood High School Culinary Arts $ 1,030.00 6330 W. Thunderbird Rd., Glendale, AZ 85306 FD-29207 E & D 10+ 4 Approved Peoria Unified School District #11 Peoria High School Culinary Arts $ 1,030.00 6330 W. Thunderbird Rd., Glendale, AZ 85306 FD-29237 E & D 10+ 4 Approved Peoria Unified School District #11 Cactus Marketing Store $ 235.00 6330 W. Thunderbird Rd., Glendale, AZ 85306 FD-29236 Retail Food 2 Approved Peoria Unified School District #11 Ironwood Marketing Store $ 235.00 6330 W. Thunderbird Rd., Glendale, AZ 85306 FD-29208 Retail Food 2 Approved Peoria Unified School District #11 Liberty High School Culinary Arts $ 1,030.00 6330 W. Thunderbird Rd., Glendale, AZ 85306 FD-29201 E & D 10+ 4 Approved Peoria Unified School District #11 Raymond S. Kellis High School $ 1,030.00 6330 W. Thunderbird Rd., Glendale, AZ 85306 FD-29246 E & D 10+ 4 Approved P15-Oct-16 Total $ 5,765.00 P16-Oct-16 Stop Child Rape for Profit Inc SCRP-Street Light USA $ 455.00 PO Box 6178, Peoria, AZ 85381 FD-16414 E & D 0-9 Seating 3 Approved P16-Oct-16 Total $ 455.00 P17-Oct-16 Extended Hands Food Bank Extended Hands Food Bank $ 260.00 16548 E. Laser Drive, Fountain Hills, AZ 85268 FD-23233 Food Bank 2 Approved P17-Oct-16 Total $ 265.00 Page 1 of 4 P18-Oct-16 Trinity Baptist Church Trinity Baptist Church $ 1,030.00 2130 E. University Dr., Mesa, AZ 85213 FD-11584 E & D 10+ 4 Approved P18-Oct-16 Total $ 1,030.00 Special Event- SCF 2016 Chocolate & Wine P19-Oct-16 Scottsdale League for the Arts Experience on 1-22-16 $ 85.00 7309 E. Evans Rd., Scottsdale, AZ 85260 FD-48822 Temporary Approved Special Event- SCF 2016 Chocolate & Wine Scottsdale League for the Arts Experience on 1-22-16 $ 85.00 7309 E. Evans Rd., Scottsdale, AZ 85260 FD-48823 Temporary Approved Special Event-SCF 2016 Barrel & Board on 2- Scottsdale League for the Arts 25-16 $ 135.00 7309 E. Evans Rd., Scottsdale, AZ 85260 FD-49882 Temporary Approved Special Event- SCF 2016 Happy Hours Around Scottsdale League for the Arts the World on 4-7-15 $ 85.00 7309 E. Evans Rd., Scottsdale, AZ 85260 FD-50929 Temporary Approved Special Event- SCF 2016 Happy Hours Around Scottsdale League for the Arts the World on 4-7-15 $ 135.00 7309 E. Evans Rd., Scottsdale, AZ 85260 FD-51106 Temporary Approved Special Event- SCF 2016 Happy Hours Around Scottsdale League for the Arts the World on 4-7-15 $ 135.00 7309 E. Evans Rd., Scottsdale, AZ 85260 FD-51140 Temporary Approved Special Event-SCF 2016 Eat, Drink & Be Scottsdale League for the Arts Pretty on 4-15-16 $ 85.00 7309 E. Evans Rd., Scottsdale, AZ 85260 FD-51109 Temporary Approved Special Event-SCF 2016 Eat, Drink & Be Scottsdale League for the Arts Pretty on 4-15-16 $ 85.00 7309 E. Evans Rd., Scottsdale, AZ 85260 FD-51110 Temporary Approved Special Event-SCF 2016 Eat, Drink & Be Scottsdale League for the Arts Pretty on 4-15-16 $ 85.00 7309 E. Evans Rd., Scottsdale, AZ 85260 FD-51111 Temporary Approved Special Event- SCF 2016 Festival Weekend aka The Arizona Great Picnic on 4-16 & 17, Scottsdale League for the Arts 2016 $ 85.00 7309 E. Evans Rd., Scottsdale, AZ 85260 FD-51203 Temporary Approved Special Event- SCF 2016 Festival Weekend aka The Arizona Great Picnic on 4-16 & 17, Scottsdale League for the Arts 2016 $ 85.00 7309 E. Evans Rd., Scottsdale, AZ 85260 FD-51202 Temporary Approved Special Event- SCF 2016 Festival Weekend aka The Arizona Great Picnic on 4-16 & 17, Scottsdale League for the Arts 2016 $ 85.00 7309 E. Evans Rd., Scottsdale, AZ 85260 FD-51191 Temporary Approved Special Event- SCF 2016 Festival Weekend aka The Arizona Great Picnic on 4-16 & 17, Scottsdale League for the Arts 2016 $ 85.00 7309 E. Evans Rd., Scottsdale, AZ 85260 FD-51190 Temporary Approved Special Event- SCF 2016 Festival Weekend aka The Arizona Great Picnic on 4-16 & 17, Scottsdale League for the Arts 2016 $ 85.00 7309 E. Evans Rd., Scottsdale, AZ 85260 FD-51188 Temporary Approved Special Event- SCF 2016 Festival Weekend aka The Arizona Great Picnic on 4-16 & 17, Scottsdale League for the Arts 2016 $ 85.00 7309 E. Evans Rd., Scottsdale, AZ 85260 FD-51189 Temporary Approved Special Event- SCF 2016 Festival Weekend aka The Arizona Great Picnic on 4-16 & 17, Scottsdale League for the Arts 2016 $ 85.00 7309 E. Evans Rd., Scottsdale, AZ 85260 FD-51187 Temporary Approved Special Event- SCF 2016 Festival Weekend aka The Arizona Great Picnic on 4-16 & 17, Scottsdale League for the Arts 2016 $ 85.00 7309 E. Evans Rd., Scottsdale, AZ 85260 FD-51186 Temporary Approved Special Event- SCF 2016 Festival Weekend aka The Arizona Great Picnic on 4-16 & 17, Scottsdale League for the Arts 2016 $ 85.00 7309 E. Evans Rd., Scottsdale, AZ 85260 FD-51185 Temporary Approved Special Event- SCF 2016 Festival Weekend aka The Arizona Great Picnic on 4-16 & 17, Scottsdale League for the Arts 2016 $ 85.00 7309 E. Evans Rd., Scottsdale, AZ 85260 FD-51184 Temporary Approved Special Event- SCF 2016 Festival Weekend aka The Arizona Great Picnic on 4-16 & 17, Scottsdale League for the Arts 2016 $ 85.00 7309 E. Evans Rd., Scottsdale, AZ 85260 FD-51180 Temporary Approved P19-Oct-16 Total $ 1,850.00 Special Event- Flavors of Phoenix 2016 on 5- P20-Oct-16 American Liver Foundation 26-16 $ 85.00 4545 East Shea Blvd., Suite 246, Phoenix, AZ 85028 FD-51522 Temporary Approved Special Event- Flavors of Phoenix 2016 on 5- American Liver Foundation 26-16 $ 85.00 4545 East Shea Blvd., Suite 246, Phoenix, AZ 85028 FD-51523 Temporary Approved Special Event- Flavors of Phoenix 2016 on 5- American Liver Foundation 26-16 $ 85.00 4545 East Shea Blvd., Suite 246, Phoenix, AZ 85028 FD-51524 Temporary Approved Special Event- Flavors of Phoenix 2016 on 5- American Liver Foundation 26-16 $ 85.00 4545 East Shea Blvd., Suite 246, Phoenix, AZ 85028 FD-51570 Temporary Approved Special Event- Flavors of Phoenix 2016 on 5- American Liver Foundation 26-16 $ 85.00 4545 East Shea Blvd., Suite 246, Phoenix, AZ 85028 FD-51380 Temporary Approved Special Event- Flavors of Phoenix 2016 on 5- American Liver Foundation 26-16 $ 85.00 4545 East Shea Blvd., Suite 246, Phoenix, AZ 85028 FD-51456 Temporary Approved Special Event- Flavors of Phoenix 2016 on 5- American Liver Foundation 26-16 $ 85.00 4545 East Shea Blvd., Suite 246, Phoenix, AZ 85028 FD-51495 Temporary Approved Special Event- Flavors of Phoenix 2016 on 5- American Liver Foundation 26-16 $ 85.00 4545 East Shea Blvd., Suite 246, Phoenix, AZ 85028 FD-51530 Temporary Approved Special Event- Flavors of Phoenix 2016 on 5- American Liver Foundation 26-16 $ 85.00 4545 East Shea Blvd., Suite 246, Phoenix, AZ 85028 FD-51576 Temporary Approved Special Event- Flavors of Phoenix 2016 on 5- American Liver Foundation 26-16 $ 85.00 4545 East Shea Blvd., Suite 246, Phoenix, AZ 85028 FD-51635 Temporary Approved Special Event- Flavors of Phoenix 2016 on 5- American Liver Foundation 26-16 $ 85.00 4545 East Shea Blvd., Suite 246, Phoenix, AZ 85028 FD-51641 Temporary Approved Page 2 of 4 Special Event- Flavors of Phoenix 2016 on 5- American Liver Foundation 26-16 $ 85.00 4545 East Shea Blvd., Suite 246, Phoenix, AZ 85028 FD-51678 Temporary Approved Special Event- Flavors of Phoenix 2016 on 5- American Liver Foundation 26-16 $ 85.00 4545 East Shea Blvd., Suite 246, Phoenix, AZ 85028 FD-51691 Temporary Approved Special Event- Flavors of Phoenix 2016 on 5- American Liver Foundation 26-16 $ 85.00 4545 East Shea Blvd., Suite 246, Phoenix, AZ 85028 FD-51701 Temporary Approved Special Event- Flavors of Phoenix 2016 on 5- American Liver Foundation 26-16 $ 85.00 4545 East Shea Blvd., Suite 246, Phoenix, AZ 85028 FD-51750 Temporary Approved P20-Oct-16 Total $ 1,275.00 P21-Oct-16 Westside Head Start Catholic Charities Early Head Start $ 230.00 7400 W. Olive Ave. Ste #10, Peoria, AZ 85345 FD-31268 Service Kitchen 2 Approved Westside Head Start Catholic Charities Tolleson Head Start $ 230.00 7400 W. Olive Ave. Ste #10, Peoria, AZ 85345 FD-13205 Service Kitchen 2 Approved Westside Head Start Catholic Charities Avondale South Head Start $ 230.00 7400 W. Olive Ave. Ste #10, Peoria, AZ 85345 FD-09514 Service Kitchen 2 Approved P21-Oct-16 Total $ 690.00 P22-Oct-16 The Salvation Army Salvation Army $ 1,030.00 1375 E Broadway Rd., Phoenix, AZ 85040 FD-17288 E & D 10+ Seating 4 Approved The Salvation Army Salvation Army $ 260.00 1375 E Broadway Rd., Phoenix, AZ 85040 FD-17394 E & D 0-9 Seating 2 Approved The Salvation Army Salvation Army $ 260.00 1375 E Broadway Rd., Phoenix, AZ 85040 FD-17395 E & D 0-9 Seating 2 Approved The Salvation Army Salvation Army $ 315.00 1375 E Broadway Rd., Phoenix, AZ 85040 FD-17396 E & D 10+ Seating 2 Approved P22-Oct-16 Total $ 1,865.00 P23-Oct-16 The Redeemed Outreach Center The Redeemed Outreach Center $ 615.00 3502 W. Colter St., Phoenix, AZ 85019 FD-52105 Plan Review Approved P23-Oct-16 Total $ 615.00 Special Event-Episcopal Church Women P24-Oct-16 St Christopher's Episcopal Church Pasta Dinner 2016 on 02-25-16 $ 85.00 10233 W. Peoria Ave., Sun City, AZ 85351 FD-49394 Temporary Approved P24-Oct-16 Total $ 85.00 P25-Oct-16 The Chandler Christian Community Center Chandler Senior Center $ 230.00 PO Box 591, Chandler, AZ 85244 FD-32527 Service Kitchen 2 Approved P25-Oct-16 Total $ 230.00 P26-Oct-186 Desert Manna Food Pantry Desert Manna Food Pantry $ 255.00 590 N. 96th St., Mesa, AZ 85207 FD-44286 Food Jobber 2 Approved P26-Oct-16 Total $ 255.00 P27-Oct-16 Banner Health Olive Branch Senior Center $ 1,020.00 11250 N. 107th Ave., Sun City, AZ FD-13026 E & D 10+ Seating 5 Approved Banner Health Olive Branch Senior Center $ 260.00 11250 N. 107th Ave., Sun City, AZ FD-28091 Food Bank 2 Approved P27-Oct-16 Total $ 1,280.00 P28--Oct-16 Lura Turner Homes Inc Civitan House $ 670.00 8640 N. 19th Ave. Suite #14, Phoenix, AZ 85021 FD-00212 Assisted Living 5 Approved P28-Oct-16 Total $ 670.00 P29-Oct-16 Kitchen on the Street Kitchen on the Street $ 610.00 2650 E. Mohawk #168, Phoenix, AZ 85050 MF-12-0242 Mobile Food Unit 3 Approved Kitchen on the Street Street Café & Coffee Lounge $ 650.00 2650 E. Mohawk #168, Phoenix, AZ 85050 FD-45022 E & D 10+ Seating 3 Approved P29-Oct-16 Total $ 1,260.00 Special Event-Free Back Pack and School P30-Oct-16 Impact One United/Higher Praise Church Supplies on 08-06-16 $ 85.00 6593 W. Lawrence Lane, Glendale AZ 85302 FD-52306 Temporary Approved P30-Oct-16 Total $ 85.00 P31-Oct-16 The Joy Bus The Joy Bus Diner $ 1,030.00 3375 E. Shea Blvd. Ste. #C-1, Phoenix, AZ 85028 FD-48148 E & D 10+ Seating 4 Approved Applied for fee waiver before permit The Joy Bus Community Church of Joy $ 365.00 3375 E. Shea Blvd. Ste. #C-1, Phoenix, AZ 85028 FD-09183 E & D 10+ Seating 2 Approved was closed P31-Oct-16 Total $ 1,395.00 P32-Oct-16 ICM Food & Clothing Bank ICM Food & Clothing Bank $ 255.00 PO Box 2225, Phoenix, AZ 85002 FD-50920 Food Jobber 2 Approved P32-Oct-16 Total $ 255.00 P33-Oct-16 Joshua Tree Feeding Program Joshua Tree Feeding Program $ 260.00 530 E. McDowell Rd. Ste. 107 -247, Phoenix, AZ 85004 FD-32104 Food Bank 2 Approved P33-Oct-16 Total $ 260.00 P34-Oct-16 Community Hope Centers Community Hope Centers $ 615.00 14185 N 83rd Ave., Peoria, AZ 85381 FD-52395 Plan Review Approved P34-Oct-16 Total $ 615.00 P35-Oct-16 Paragon Management Inc Paradise Education Center $ 650.00 15533 W. Paradise Ln., Surprise, AZ 85374 FD-08298 E & D 10+ Seating 3 Approved P35-Oct-16 Total $ 650.00 P36-Oct-16 Tempe Community Action Agency North Tempe Multi-Generational Center $ 475.00 2150 E. Orange St., Tempe, AZ 85281 FD-10388 Senior Food Service 3 Approved P36-Oct-16 Total $ 475.00 The First Assembly of Good of the City of Dream City Church P37-Oct-16 Phoenix $ 315.00 13613 N. Cave Creek Rd., Phoenix, AZ 85022 FD-52475 Plan Review Approved The First Assembly of Good of the City of Dream City Church Phoenix $ 315.00 13613 N. Cave Creek Rd., Phoenix, AZ 85022 FD-52477 Plan Review Approved The First Assembly of Good of the City of Dream City Church Phoenix $ 315.00 13613 N. Cave Creek Rd., Phoenix, AZ 85022 FD-52478 Plan Review Approved The First Assembly of Good of the City of Dream City Church Phoenix $ 315.00 13613 N. Cave Creek Rd., Phoenix, AZ 85022 FD-52479 Plan Review Approved The First Assembly of Good of the City of Dream City Church Phoenix $ 315.00 13613 N. Cave Creek Rd., Phoenix, AZ 85022 FD-52480 Plan Review Approved P37-Oct-16 Total $ 1,575.00 Catholic Charities/Lodestar Day Resource Mana House/Madison Street Veterans P38-Oct-16 Center Association $ 760.00 1125 W. Jackson St., Phoenix, AZ 85007 FD-31057 Boarding Home 5 Approved P38-Oct-16 Total $ 760.00 P39-Oct-16 Hope Lives Vive La Esperanza Hope Lives Vive La Esperanza $ 650.00 1016 E. Buckeye Rd #140 & 145, Phoenix, AZ 85034 FD-25621 E & D 10+ Seating 3 Approved P39-Oct-16 Total $ 650.00 P40-Oct-16 Christian Life Outreach Mom's Pantry $ 615.00 13440 N. Cave Creek Rd., Phoenix, AZ 85022 FD-52898 Plan Review Approved P40-Oct-16 Total $ 615.00 P41-Oct-16 Christ Evangelical Luthern Chrurch Christ Evangelical Luthern Church $ 260.00 918 S. Litchfield Rd., Goodyear, AZ 85338 FD-45732 Food Bank 2 Approved P41-Oct-16 Total $ 260.00 P42-Oct-16 Community Christian Church Community Christian Church $ 650.00 1701 S. College Ave., Tempe, AZ 85281 FD-16651 E & D 10+ Seating 3 Approved P42-Oct-16 Total $ 650.00 Page 3 of 4 St John Vianney Roman Catholic Parish St John Vianney Roman Catholic Parish P43-Oct-16 Goodyear Goodyear $ 260.00 539 E. La Pasado Blvd., Goodyear, AZ 85338 FD-52688 Food Bank 2 Approved St John Vianney Roman Catholic Parish St John Vianney Roman Catholic Parish Goodyear Goodyear $ 315.00 539 E. La Pasado Blvd., Goodyear, AZ 85338 FD-52688 Plan Review Approved P43-Oct-16 Total $ 575.00 P44-Oct-16 St John Institutional Baptist Church St John Institutional Baptist Church $ 650.00 1428 S. 13th Ave., Phoenix, AZ 85007 FD-38379 E & D 10+ Seating 3 Approved P44-Oct-16 Total $ 650.00 P45-Oct-16 Stand Together and Recover S.T.A.R. $ 100.00 3003 N. Central Ave., Suite 675, Phoenix, AZ 85012 FD-26704 Adult Daycare 3 Approved P45-Oct-16 Total $ 100.00 P46-Oct-16 Naos Inc. Pure Heart Church - Food Pantry $ 255.00 14240 N. 43rd Ave., Glendale, AZ 85306 FD-524492 Food Jobber 2 Approved P46-Oct-16 Total $ 255.00 P47-Oct-16 Happy Tails Dachshund Rescue Special Event-Wiener Mania, October 1, 2016 $ 85.00 PO Box 116, Queen Creek, AZ 85142 FD-53383 Temporary Approved P47-Oct-16 Total $ 85.00 P48-Oct-16 Chandler Lions Club Foundation Chandler Lions Club Foundation $ 260.00 4040 E. McLellan Rd. #4, Mesa, AZ 85205 FD-32636 E & D 0-9 Seating 2 Approved P48-Oct-16 Total $ 260.00 P49-Oct-16 Amadeo Vineyard Church 3rd Place Cup / Amadeo Vineyard Church $ 650.00 21805 S. Ellsworth Rd. Suite 102, Queen Creek, AZ 85142 FD-32217 E & D 10+ Seating 3 Approved P49-Oct-16 Total $ 650.00 P50-Oct-16 Phoenix Day Phx Day Child & Family Learning Center $ 465.00 115 E. Tonto St., Phoenix, AZ 85004 FD-20416 Food Catering 5 Approved P50-Oct-16 Total $ 465.00 Total Permits $ 42,855.00 Item # Administrative Name Business Fee Used Administrative Address Certificate Type Waiver Approved (Approved/Denied) Date Used Gone to Fin (Y/N) C1-Oct-16 Banner Health Banner Olive Branch $ 90.00 11250 N. 107th Ave., Sun City, AZ Volunteer Approved 7/19/2016 N C1-O Total $ 90.00 C2-Oct-16 Phoenix Union High School District Metro Tech $ 320.00 1900 W. Thomas Road, Phoenix, AZ 85015 Culinary Approved 9/1/2016 N C2-O Total $ 320.00 C3-Oct-16 Mesa Public School District Dobson High School $ 910.00 1501 W. Guadalupe Rd., Mesa, AZ 85202 Culinary Approved 9/13/2016 N $ 890.00 9/22/2016 N C3-O Total $ 1,800.00 C4-Oct-16 Mesa Public School District Mesa High School $ 240.00 1630 E. Southern Ave., Mesa, AZ 85204 Culinary Approved 10/4/2016 N C4-O Total $ 240.00 C5-Oct-16 Mesa Public School District Westwood High School $ 770.00 945 W. Rio Verde Pkwy, Mesa, AZ 85201 Culinary Approved 10/25/2016 N C5-O Total $ 770.00 Total Food Service Worker Certificates $ 3,220.00 Sub Total $ 46,075.00 Adjustments Item # Administrative Name Business Requested Fee Administrative Address Permit # Permit Type Class Waiver Approved (Approved/Denied) P9-Apr-16 A New Leaf East Valley Mens Center $ 54.00 868 E. University Drive, Mesa, AZ 85203 FD-34435 Boarding Home 5 Approved P31-Apr-16 Hope 4 Hungar Market Hope 4 Hunger Market $ (615.00) 8527 W. College Dr., Phoenix, AZ 85037 FD-47912 Plan Review Approved Total Adjustments $ (561.00) Grand Total to BOS $ 45,514.00 Page 4 of 4