Phoenix

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Oversize Vehicle Permits

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Applicant *

Phone *

Email *

Address *

City *

State *

Zip Code *

Moved From *

Moved To *

Route *

Vehicle Make *

Model (include Unit#) *

Load examples: Truck Mounted Crane, Truck Mounted Drill Rig, Truck Mounted Pumper, Mobile Home on own axles, Wooden Trusses, Concrete Beams etc. If multiple pieces, indicate how many in load field. If the load is on its own axles, include number of axles, number of tires per axle and tire size.

Load *

Weight of Load *

Any additional Information

Truck/Tractor

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Trailer/Transporter

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Dollie/Other

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Jeep/Other

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TOTALS

The overall length is measured from front to back including any overhang measurement. Indicate measurements using feet and inches (i.e. 13' 6").

Length *

Width *

Height *

Front Overhang *

Rear Overhang *

Indicate distance between axles: 1 > 2 > 3 > 4 > 5 etc. (axle 1 represents the steering axle). Last Axle - indicate a zero (0) in the feet and inch boxes.

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For Mobile Homes

Serial # *

Tax Clearance # *

AGREEMENT: By entering my name below and checking the box 'I Agree', I certify that all information, weights and dimensions of the load and equipment as stated above are true and correct. I understand that failure to comply with the restrictions voids the permit. I understand the requested permit will authorize only the work stated within the application. I understand that no person shall violate any terms or conditions of a permit issued upon this application. I also agree, on behalf of myself or my firm or corporation, to pay all fees, to perform all work, and to obtain all inspections and other mandated permits in accordance with City of Phoenix Codes and State laws.

Name *

I Agree

Single Trip ($30)

30 day permit ($45)

Annual ($540)

I would like to receive my permit by

Fax

Created by AIPSS

Phoenix

Oversize Vehicle Permits

Details

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TOTALS

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