Transcription of PennDOT Home
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PennDOT Home
TYPE permit REQUESTED: Single Trip Single Trip & Return Annual Seasonal _____months Emergency Preliminary Superload Final Superload _____ of _____PERMIT OFFICE _____ NAME _____ACCOUNT NO. _____ STREET _____FEIN/SSN _____ CITY-STATE-ZIP CODE _____BILL CODE _____ permit FEE GROSS WEIGHT _____(lbs.) LEGAL WEIGHT _____(lbs.) TOTAL LENGTH _____(ft.) _____ (in.)TOTAL WIDTH _____ (ft.) _____ (in.) BODY WIDTH (63A/63B) _____(ft.) _____ (in.) TOTAL HEIGHT _____(ft.) _____ (in.)LOAD _____ _____ _____ _____VEHICLE # EQUIPMENT TYPE (List Power & Drawn Units)US DOT # PLATE#/VIN # STATE # AXLES123 TOTAL AXLE WEIGHTS _____AXLE DISTANCES (Ft.)
CITY/STATE/ZIP CODE: List applicant’s municipality, State and Zip Code. PERMIT FEE: The Permit Fee will be determined at the time of issuance. The permit fee is the sum of the issuance fee and any ton-mile, escort or other established fees (e.g., $1 wire fee). See reverse of Form M-936A for the formula used to compute ton-mile fees.
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