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Name & No.) City / State Contact Person PERMIT No. TRFax Contact Person Phone Number Zip Object to be Moved Object Weight Route: Height Width VEHICLE TO BE USED Length Overall Width Truck Overall Weight Truck - Trailer Semi-Trailer Overall Length Rear Overhang Pole Trailer Dollies Other Truck License No. DATE OF MOVEMENT: Trailer License No. Moves during daylight hours only and no permits will be issued for Saturday, Sunday, & Holidays WEIGHT - AXL.

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