Skagit County Public Works Department
1800 Continental Place
Phone: 360.416-1400
Mount Vernon, WA 98273 Fax: 360.336.9478
www.skagitcounty.net
Oversize/Overweight Vehicle
Permit Application
Permit #_________________
Date: ___________________
HAULER INFORMATION
Company Name
(vehicle owner)
Contact Name
Street Address Phone (with area code)
City State Zip E-Mail Address or Fax (with area code)
VEHICLE INFORMATION
TRUCK/TRACTOR TRAILER WEIGHT
Truck/Tractor Vehicle Make Trailer Make Total Gross Weight
Truck/Tractor License Number Trailer License Number Total License Capacity
Truck/Tractor # of Axles Trailer # of Axles Excess Weight
Truck/Tractor License Capacity Trailer License Capacity Fee
1 2 3 4 5 6 7 8 9 10 11 12
AXLE WEIGHT:
TIRE SIZE:
1-2 2-3 3-4 4-5 5-6 6-7 7-8 8-9 9-10 10-11 11-12
AXLE SPACING
MAXIMUM WIDTH: MAXIMUM LENGTH: MAX IMUM HEIGHT:
TRIP INFORMATION
Permit Start Date Load Description
Permit End Date Route (From) Route (To)
Routes of Travel via County Roads and Bridges:
RESTRICTIONS (SKAGIT COUNTY WILL NOTE RESTRICTIONS)
1. Maximum speed 5 m.p.h. on all bridges.
2. Allow no other vehicles on bridges.
3. Travel center line of roadway on bridges.
4. Travel center line of roadway.
5. Stop traffic when moving.
6. Keep tires clear of asphalt edge.
7
. Flaggers to control traffic on bridges.
8.
Flaggers required on truck.
9
. Red flags displayed on load.
10. Pilot car ahead and in rear.
11. Maximum speed of _____________ m.p.h.
12. Daylight hours only. No movement if vision
obscured by fog or inclement weather.
13. Assume responsibility for overhead obstructions.
14. No Saturday, Sunday or holiday movement.
15. Subject to release by arresting agent.
16. Subject to winter road restrictions.
Other Restrictions:
__ This permit issued in conjunction with a movement involving state highways and as provided by law, the fee will be collected by the State Highway Department when
permit is secured from them.
__ This permit issued in conjunction with a movement involving county road and as provided by law the fee will be collected by Skagit County.
__ County roads are only used and I, the undersigned, acknowledge the receipt of
$____________________ from permittee covering above described movement.
__ Permission is hereby granted to operate the vehicle or vehicles herein in accordance with RCW Chapter 46.44 and Skagit County Code 11.20.050
BY:__________________________________________________________________________________, Skagit County Representative
READ THIS
BEFORE SIGNING
This combined application/permit issued in accordance with R.C.W. 46.44.090 with the specific understanding that all applicable Washington State Laws, Administrative
Codes, Regulations and Conditions, including those not listed hereon will be complied with. I, the undersigned permittee or agent thereof, certify that the information
shown hereon is known by me and is true and correct and understand that the permittee shall be liable as set forth in R.C.W. 46.44.110 for all damages to any public
highway, bridge or elevated structure, resulting from the movement of equipment authorized by this permit on the public highways of this State. The permittee shall further
hold blameless and harmless and indemnify Skagit County, its officers, agents and employees against any accident, liability, loss, injury, action and the costs thereof arising
from the conduct or operations of the permittee in connection with this permit. I further understand that prior to movements the permittee shall establish a routing to safely
detour all structures having a limited clearance less than the permitted height. If permit is charged, I authorize billing to the firm named.
_____________________________________________________________________________________, Vehicle Owner or Authorized Representative
(Sign only after Skagit County has noted Restrictions)
