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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