(Sample) Transportation Single / Annual Trip Application
Aug 01, 2017
submission
#1
Applicant Info
Applicant Info
| Name | Jane Test |
| Address | --- |
Description of Load or Equipment and Model No.:
| Dimensions of Load: | 12 x 15 |
| Description of Hauling Equipment: | Big |
| License No. or Serial No.: | 392ABD |
| Vehicle Width: | 25 |
| Kingpin to Last Axle: | 25 |
| Comb.Vehicle Length: | 25ft |
| Max Allowable Weight | 123 |
AXLE #1
| Number Tires Per Axle | 4 |
| Distance Between Axles | 4 |
| Width of Axles at Tire Sidewall | 14 |
Municipal Authorization
Municipal Authorization
| Authorized Roads/Streets/Highways - Other Agency Permits may be required | 9th street, N Street all freeways |
| Pilot Car | One (1) Pilot Car Required for Widths Greater than 12' and/or length 100' or greater. |
| Moving Authorized | Sunday |
| Authorization Granted for Following | Haul, Drive |
Permit Valid
| From (date) | 2017-09-01 |
| At (time) | 8 AM |
| Thru (time) | 5 PM |