Transcription of OVERWEIGHT / OVERSIZE E IT APPLICATION
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OVERWEIGHT / OVERSIZE E IT APPLICATION
State ICC-MC DOT Towed Loaded Self-Propelled Various TrailersVehiclesEmpty of AxlesSizesLengthWidthHeightPower-UnitPow er UnitTrailerTrailerOther TrailerLoadOverhangOverall123456789 COMPLETE IF OVERWEIGHTS pacing Between AxlesTire WidthNumber of Tires on AxleAxle WeightAxle NumberEngineer's Office Comments:ROUTING INFORMATIONTo: (Intersection or Address)From: (Intersection or Address)VIA Highways / RoadsPlate No. and StateMakeApplicant Name - Owning Company or Contractor OVERWEIGHT / OVERSIZE VEHICLE PERMIT APPLICATION & PERMITLoad - Description (include make and model or serial number) APPLICATION DateAddressZipCityFax NumberContact PersonLoad WeightTotal Gross WeightSANDUSKY COUNTYENGINEER'S OFFICE2500 WEST STATE STREET, FREMONT, OHIO 43420 Phone: (419) 334-9731 FAX: (419) 334-9733 Type of Permit Requested: (Check All Applicable)Duration of Permit: Desired Effective Date: _____ 5 days90 Days365 daysOverwidth Overheight Overlength Trip & Return Other Fee (See Notes Below) Credit Card Other Office Use Only: OVERWEIGHT A copy of this permit shall be in the possession of the driver at all times and shall be shown on demand to any law enforcement officer.
VIA Highways / Roads Make Plate No. and State Applicant Name - Owning Company or Contractor
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