Oversized Vehicle Permit

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OVERSIZED VEHICLE PERMIT
Project Owner	Applicant:YesNo
Name:
Title:
Organization:
Address:
City:
State:	Zip Code:
Business Phone:	Emergency Phone:
e-mail address:

Contractor	Applicant:YesNo
Name:
Title:
Organization:
Address:
City:
State:	Zip Code:
Business Phone:	Emergency Phone:
e-mail address:

Proposed Route & Schedule

Initial Location:

Final Destination:

Route Description

Proposed Move Date

(allow minimum 10 working days for review)

NCDOT Permit No.

(if applicable)

Load Description:
Width:	feet		inches
Length (Incl. Truck):	feet		inches
Overall Height (Incl. Truck):	feet		inches

Note: Indicate total load dimensions (including truck).
Height shall be measured from road surface.
Fee

Oversized Vehicle (perload)	$100.00
Send by fax to 910-341-5881

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