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2. Oversize - Overweight Permit
   Valid for One Trip Only
4. Requested By:*
5. Phone Number:*
7. Email Address:*
9. Issued To:*
11. Address*
12. City*
13. State*
15. Zip Code:*
16. Phone Number:*
17. Fax Number:*
19. Power Unit Year & Make:*
20. Power Unit License No. & State:*
21. Power Unit Registered Weight*
23. Trailer Make:*
24. Trailer License No. & State*
25. Object or Load:*
27. Model Number:*
28. VIN:*
29. Serial Number:*
31. SME Qualified:
32. Overall Length:*
33. Width:*
34. Height:*
36. Total Weight:*
37. Trailer Length*
38. Load Length:*
40. Projections
42. Front:*
43. Rear*
45. Axle Weights
47. Single:*
48. Tandem:*
49. Triple:*
50. Quad:*
52. Quint:*
53. Sextet:*
55. Axle Spacing:*
57. Trip From:*
58. Trip To:*
60. General Requirements
    The City of Waukee grants authority to move equipment within the Waukee City Limits in conjunction with an Iowa Department of Transportation oversize/overweight permit. The requirements and regulations of the IDOT permit apply within the City of Waukee. The vehicles will be operated on Truck Routes except when it is necessary to reach a specific destination off of the Truck Route. In these instances, the vehicle should use the most direct route to reach the destination.
62. Disclosure Statement
    The information furnished on this application will be used by the City of Waukee to prepare and issue permits. All information applicable to a given permit is required and is public information. Failure to complete the application as required will result in denial of permit. Permit issuing authorities will not be responsible for any damages that are the result of the move. The City of Waukee assumes no responsibility for the property of the permit holder.
64. Prepared By:*
65. Title:*
67. Electronic Signature:*
68. Date*
Leave This Blank:


70. 1. Receive an email copy of this form.
71. Email address

    This field is not part of the form submission.

72. Submit

* indicates a required field