560 021 Oversize Overweight Vehicle Single Trip Permit Application

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Oversize/Overweight Vehicle
Single Trip Permit Application

Commercial Vehicle Services
PO Box 47367
7345 Linderson Way SW
Olympia, WA 98504-7367
360-704-6340 / FAX 360-704-6391
Same day service not guaranteed if customer enters office after 3:00 p.m.
Self-Issued Permits - 24-hours a day/7 days a week
Company Name
Contact Name
Street Address
City

State

Zip Code

DOT #

Phone (with Area Code)

Permit Start Date

Fax (with Area Code)

Permit End Date

E-Mail Address
Power Unit License Number

Transponder Number

VIN Number (Complete)

Make

Year

Base State

DETAILED LOAD DESCRIPTION

Tractor/Trailer (Connected by 5th Wheel)
Truck/Trailer (Connected by Hitch
Single Vehicle

Origin (City)
Power Unit # of Axles
Width

Height

Unit #

Destination (City)
Trailing Unit & of Axles

Gross Weight

Total Overall Length

Licensed Weight

Load Length or Trailer Length (Whichever is longer)

Axle Spacing Report #
Front O/H

Rear O/H

Overweight Only: Axle spacings are required if no axle spacing report number is provided. Give axle spacing measured from center of axle to center of axle
in feet and inches and number of tires per axle.
Tires per axle:
Spacing:
Axle Weights:
Tire Size on Steer Axle

Lift Axle?
Yes

No

Which Axle?

Tire Size?

Routes of Travel (State Highways with mileposts for single trip oversize/overweight required.)
Highways
Beginning MP
Ending MP
Highways

Self Steering?
Yes
No

Single
Dual
Beginning MP

County .City Miles
Signature

DOT Form 560-021
Revised 07/2015

Date

Ending MP
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