Public Works Permits Annual OS/OW Company Move Permits Company Single Trip Move UID # 31774 Annual OS/OW Company Move Permits: Permit # ACMP-2018-0017 App. Status: Incomplete Valid: 07/26/2018 - 08/01/2018Freeborn County Public Works 3300 Bridge Av Albert Lea, MN 56007 507-377-5188
Applicant
Company Representative:
Name:
Jamie Jensen
Company Name:
Jensen Excavating & Trucking LLC
Phone:
(507
) 383
- 1556
eMail:
jensenexc@gmail.com
Mailing Address:
74884 270th St
Clarks Grove
MN
56016
Vehicle
Vehicle License Plate Number:
PAR0556
Vehicle Year:
2010
Vehicle Make:
Mack
Vehicle Model:
Pinnacle
Attachments:
Trailers
Trailer(s):
Identification
Build
Trailer License
Trailer State
Trailer Make
Trailer Model
7434STR
MN
Trail King
XL55
Move Date/Other Permits
Date of Move:
07/26/2018
Number of Duplicate Moves Today and number of days? Example "10 x 6" for 10 loads a day for 6 days.
2x1
Are there any other State, City or Township Permits?
No
Please Upload and Attach Other Permits:
Overall Dimensions
Description of Load:
Construction Equipment
Overall Length of Truck, Trailer, and Load (nearest foot):
75
Width (nearest 1/2 foot 12.5, 13.5 for example):
11.4
Height (nearest 1/2 foot 12.5, 13.5 for example):
14.5
Front Overhang (nearest foot):
2
Rear Overhang (nearest foot):
1
Left Overhang (nearest 1/2 foot 12.5, 13.5 for example):
1.5
Right Overhang (nearest 1/2 foot 12.5, 13.5 for example):
1.5
Axle Configuration
Configuration:
7 axles
Axle(s):
Axle Group
Axle Weight
Axle Width
Spacing
Wheels
3
20,000
8
0
4
Route
Load From:
Moving To:
Miles Traveled on County Roads:
Miles
Roads:
Axle Fee Calculations
Calculated Moving Fee:
Dollars
Total Axle Weight:
Pounds
Number of Axles:
Axles
Total Over Design Axle Weight Value:
Invoice #8570 (07/20/2018)
Charge
Cost
Quantity
Total
Grand Total
Total
$0.00
Due
$0.00
This Application has not been submitted, so you may not pay for this Invoice.
