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M-936A (11-17). oversize / overweight PREVIOUS. APPLICATION FOR SPECIAL PERMIT NO.: HAULING PERMIT. ''ALL LINES (EXCEPT DASHES) MUST BE COMPLETED" APPLICATION ID: TYPE PERMIT REQUESTED: Single Trip Single Trip & Return Annual Seasonal ________months Emergency Preliminary Superload Final Superload _______ of _______. PERMIT OFFICE_________________________________ NAME____________________________________ _____________________________________. REGISTERED NAME (Responsible Motor Carrier). ACCOUNT STREET__________________________________ _____________________________________. MOTOR CARRIER/PERMIT SERVICE ADDRESS. FEIN/SSN________________________________ ______ CITY-STATE-ZIP CODE____________________________________ _______________________.
additional articles constitute an oversize/overweight divisible load. Serial Id: List at least the last six digits of the load serial number, if there is any load. In the rare event that a serial number has less than six digits, use leading zero(s). If the load has no serial number, list …
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