Traffic Engineering Department
(206) 577-3375
MOTOR VEHICLE PERMIT
PERMIT ENTRY DATE
NAME ADDRESS REQUESTS MOVEMENT OF
PRIVATE PROPERTY PARKING ONLY
PERMIT # PHONE #
AXLE COUNT TRACTOR OVERWEIGHT
AXLE COUNT TRAILER NO
(OVERWEIGHT = VEHICLE WEIGHT IN EXCESS OF 14,000# GROSS.)
YES
TOTAL GROSS WEIGHT
OVERSIZE
YES
NO
(AN OVERSIZE VEHICLE EXCEEDS 8-1/2’WIDTH, OR 14’IN HEIGHT, OR 40’LENGTH OR A - [COMBINED TRACTOR + SEMI] SEMI OVER 48’ IN LENGTH = OVERSIZE VEHICLE; B - [COMBINED TRACTOR + 2 SEMIS] SEMIS OVER 59’COMBINED TOTAL LENGTH = OVERSIZE VEHICLE; C - [COMBINED TRUCK + TRAILER] COMBINATION OVER 65’IN LENGTH = OVERSIZE VEHICLE..)
WIDTH THIS VEHICLE IS
HEIGHT LICENSED UNLICENSED
LENGTH
EXTENSION BEYOND REAR AXLE (FT)
LICENSE # TRAILER
LICENSE # TRACTOR TRIP DATE(S) MOVEMENT TIMES
TRIP ORIGIN VIA WHICH ROUTE?
TRIP DESTINATION
Applicant certifies the above information to be true and correct, and agrees to meet the requirements of this permit pursuant to Title 11, Chapter 11.68 of the Longview Municipal Code.
VIOLATIONS APPLICANT'S SIGNATURE YES NO
City of Longview authorizes the movement as described above, providing the following requirements (if any) are met:
PILOT CARS
(FRONT & REAR)
YES
NO YES
PILOT CARS
(REAR)
YES
NO
FLAGMEN
(TRAFFIC CONTROL)
YES
NO
TRAFFIC CREW IN ATTENDANCE
NO
SPECIAL CONDITIONS - ENGINEERING
SPECIAL CONDITIONS - PLANNING & BUILDING
ENGINEERING SIGNATURE PERMIT ISSUE DATE
ENGINEERING TITLE
P&B REPRESENTATIVE
PERMIT EXPIRATION DATE
THIS PERMIT WILL BE REVOKED IF COMPLAINTS ARE RECEIVED FROM NEIGHBORS