Fillable CITY OF EVERETT DEPARTMENT OF ENGINEERING AND PUBLIC (City of Everett)

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CITY OF EVERETT DEPARTMENT OF ENGINEERING AND PUBLIC (City of Everett)

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The CITY OF EVERETT DEPARTMENT OF ENGINEERING AND PUBLIC (City of Everett) form is 2 pages long and contains:

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  • 19 check-boxes
  • 74 other fields

Country of origin: US
File type: PDF

U.S.A. forms for City of Everett

BROWSE CITY OF EVERETT (WA) FORMS

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Truck
Number
Truck
License
Trailer
License
Overall width
ft.
in.
hours, (except:
Overall height
Overall length
ft.
ft.
in.
in.
7:00 – 9:00 am
4:00 – 6:00 pm)
CITY OF EVERETT
DEPARTMENT OF ENGINEERING AND PUBLIC SERVICES
OVERSIZE VEHICLE PERMIT
VALID ONLY ON STREETS WITHIN EVERETT CITY LIMITS
Name
Address
Is granted permission until
To operate or transport
Telephone Fax
From To
Do you have a permit from WSDOT?
YES NO Permit #
Via
Driver’s name
Cell
2
nd
Contact
Cell
Driver
must have signed permit to travel.
Three days advance notice for super loads is
recommended.
This permit must be carried on the vehicle described herein
and is subject to cancellation if any of its conditions are
violated. This and other conditions as outlined herein are
accepted by:
Signature of
APPLICANT
Gross weight lbs. legal load
Overhang front ft. hours only
Overhang rear ft.
THE FOLLOWING RESTRICTIONS MUST BE OBSERVED:
Maximum speed mph
Pilot car behind
Pilot car ahead
Assume responsibility for all
grade change.
Red flags by day, lights by
displayed on load
Police escort or escort approved
Assume responsibility for overhead
obstructions
Everett Traffic Engineering / Signal
crew required
Truck and Trailer Information
TRAFFIC ENGINEER
This permit is granted with the specific understanding that the permittee shall be responsible for all accidents, damage or injury to any person or property resulting from the operation of the
piece of equipment covered by this permit upon the public streets of this city and that the permittee shall hold blameless and harmless and shall indemnify the City of Everett and members
thereof, its officers, agents and employees against any and all claims, demands, loss, injury, damage actions and costs of act
ions whatsoever which they or any of them may sustain by
reason of the acts conduct or operations of the permittee in connection with the operation covered by this permit.
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CITY OF EVERETT DEPARTMENT OF ENGINEERING AND PUBLIC (City of Everett)

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Completed 13 February 2021

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