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Applicant
TRIP ID:
CONTACT NAME:
CONTACT E-MAIL:
PERMIT TYPE:
CONTACT PHONE:
Route
ORIGIN:
DESTINATION:
REQUESTED PERMITS:
VEHICLE CONFIGURATION
TRUCK:
TRAILER:
JEEP-BOOSTER:
KINGPIN TO LAST AXLE:
TRAILER LENGTH:
# OF AXLES:
LOAD
LOAD WEIGHT:
LOAD DESCRIPTION:
LOAD MAKE:
LOAD MODEL:
NUMBER OF PIECES:
LOAD SERIAL NO:
LOAD FORMATION:
LOAD LENGTH:
LOAD WIDTH:
LOAD HEIGHT:
OVERALL LENGTH:
OVERALL WIDTH:
OVERALL HEIGHT:
GROSS WEIGHT:
FRONT OVERHANG:
REAR OVERHANG:
