ࡱ> ] bjbj\\ .n6i6i<$pl<J .000000$TjjjTij .j.0rtR0   ,jjjjjjjTTZjjjjjjj jjjjjjjjjY O: For Fire Marshals Office Use:Permanent ID: Permit Number: Date Issued: Action:  FORMCHECKBOX  OK TO ISSUE  FORMCHECKBOX  DO NOT ISSUE By: ______________________________ Date: ______________________________ FORMCHECKBOX  INSURANCE APPROVED Date: _____________________________ FORMCHECKBOX  FEE Amount: _$_____________________________ Date Received: ______________________________ Check Number: ______________________________ MAINE DEPARTMENT OF PUBLIC SAFETY STATE FIRE MARSHALS OFFICE 52 STATE HOUSE STATION AUGUSTA, MAINE 04333-0052 (207) 626-3880 TEL (207) 287-6251 FAX  HYPERLINK "mailto:MRI.FMO@fb88.gov" MRI.FMO@fb88.gov Application For: Permit for Motor Vehicle Racing For the calendar year ending: December 31, ______ Name of Site or Show: Location of Site (Street & Number): City/Town: County: Telephone: Email: Other:  FORMCHECKBOX  Traveling Show, see Itinerary attached. Type of Events: (Check all that apply)  FORMCHECKBOX  Race Track  FORMCHECKBOX  Drag Racing  FORMCHECKBOX  Ice Racing  FORMCHECKBOX  Mud Run  FORMCHECKBOX  Demolition Derby  FORMCHECKBOX  Thrill Show  FORMCHECKBOX  Go-Kart Racing  FORMCHECKBOX  Other (specify): ________________________________ Owner: Mailing Address: City/Town: State: Zip Code: Telephone: Email: Other:  Applicant (Name, Typed or Printed): Signature: Date: Telephone: Email:  FEE: $300 Please make checks payable to: Treasurer State of fb88 If there are bleachers and/or grandstands at the facility, a letter from a licensed architect or professional engineer certifying that the bleachers and/or grandstands will support the expected load must be submitted with this application. A certificate of general liability insurance must be submitted with this application. (See details on page 2 of this application). Application for Permit for Motor Vehicle Racing Page 2 Name of Site or Show: _______________________________________________ Year: ____________________  FORMCHECKBOX  TRAVELING SHOW, ITINERARY From:To:Site Name:Site Address:City/Town:County: Use additional sheets as needed. Duplicate this form as needed.  FORMCHECKBOX  FIXED LOCATION Opening Date: Closing Date: Notes (List operating dates, Weekends Only, etc.):  CERTIFICATE OF INSURANCE The Certificate of Insurance MUST show coverage of No Less Than $1,000,000 General Liability, and must indicate the nature of the coverage (Motor Vehicle Racing, Demolition Derby, etc.) The Certificate of Insurance MUST show the following: CERTIFICATE HOLDER: fb88 Department of Public Safety State Fire Marshals Office 52 State House Station Augusta, ME 04333-0052 CANCELLATION CLAUSE: The Standard wording must be changed to: Should any of the above described policies be cancelled before the expiration date thereof, the issuing company will (DELETE endeavor to) mail 10 days written notice to the certificate holder named to the left. (DELETE: But failure to mail such notice shall impose no obligation or liability of any kind upon the company, its agents, or representatives.) INSPECTIONS: Inspections are required prior to opening. Call or email at least two (2) weeks prior to your scheduled opening date to schedule an inspection. Scheduling will not occur until this application, insurance document, and fees are received. 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