Public Works Permits Annual OS/OW Company Move Permits Company Single Trip Move UID # 36858 Annual OS/OW Company Move Permits: Permit # ACMP-2022-0047 App. Status: IncompleteFreeborn County Public Works 3300 Bridge Av Albert Lea, MN 56007 507-377-5188
Applicant
Company Representative:
Name:
Derek Sager
Company Name:
Ulland Brothers Inc
Phone:
(507
) 383
- 6862
eMail:
dsager@ulland.com
Mailing Address:
2501 East Main St
Albert Lea
MN
56007
Vehicle
Vehicle License Plate Number:
PAS1242
Vehicle Year:
2020
Vehicle Make:
Intl
Vehicle Model:
TT
Attachments:
Trailers
Trailer(s):
Identification
Build
Trailer License
Trailer State
Trailer Make
Trailer Model
6432STN
MN
Trail King
HD
Move Date/Other Permits
Date of Move:
Number of Duplicate Moves Today and number of days? Example "10 x 6" for 10 loads a day for 6 days.
1
Are there any other State, City or Township Permits?
No
Please Upload and Attach Other Permits:
Overall Dimensions
Description of Load:
converys
Overall Length of Truck, Trailer, and Load (nearest foot):
80
Width (nearest 1/2 foot 12.5, 13.5 for example):
9
Height (nearest 1/2 foot 12.5, 13.5 for example):
14
Front Overhang (nearest foot):
Rear Overhang (nearest foot):
Left Overhang (nearest 1/2 foot 12.5, 13.5 for example):
1
Right Overhang (nearest 1/2 foot 12.5, 13.5 for example):
1
Axle Configuration
Configuration:
converys
Axle(s):
Axle Group
Axle Weight
Axle Width
Spacing
Wheels
1
16,000
8
0
2
2
17,000
8
14
4
2
17,000
8
4
4
2
17,000
8
4
4
3
17,000
8
36
4
Route
Load From:
dunbar pit
Moving To:
gran meadow
Miles Traveled on County Roads:
20 Miles
Roads:
freeborn co roads
Axle Fee Calculations
Calculated Moving Fee:
Dollars
Total Axle Weight:
Pounds
Number of Axles:
Axles
Total Over Design Axle Weight Value:
Invoice #12354 (06/22/2022)
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.
