Transcription of PennDOT Home
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PennDOT Home
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_____. IF NO MOTOR CARRIER ACCT. NO. 1 = IMMEDIATE PAYMENT. 3 = MONTHLY BILLING. BILL CODE_____ 4 = GOVERNMENTAL CHECK/MO # CHECK/MO #. PERMIT FEE. <. GROSS WEIGHT_____ (lbs.) LEGAL WEIGHT = _____(lbs.)
not under the jurisdiction of the Department of Transportation, that required insurance will be in effect until permit expires and that the driver will be provided with a copy of both the issued permit and Department Form M-938. QUANTITY OVERSIZE/OVERWEIGHT APPLICATION FOR SPECIAL HAULING PERMIT ''ALL LINES (EXCEPT DASHES) MUST BE COMPLETED ...
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