Public Works Permits Annual OS/OW Company Move Permits Company Single Trip Move UID # 33911 Annual OS/OW Company Move Permits: Permit # ACMP-2020-0026 App. Status: IncompleteFreeborn County Public Works 3300 Bridge Av Albert Lea, MN 56007 507-377-5188
Applicant
Company Representative:
Name:
Shelly Lee Wangen
Company Name:
Freeborn Construction Inc
Phone:
(507
) 373
- 4434
eMail:
shelly@freebornconstruction.com
Mailing Address:
PO Box 56
Albert Lea
MN
56007
Vehicle
Vehicle License Plate Number:
PAR7877
Vehicle Year:
2004
Vehicle Make:
Peterbuilt
Vehicle Model:
378
Attachments:
Trailers
Trailer(s):
Identification
Build
Trailer License
Trailer State
Trailer Make
Trailer Model
6672STL
MN
Trail King
TK110
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:
324/240Long
Overall Length of Truck, Trailer, and Load (nearest foot):
85
Width (nearest 1/2 foot 12.5, 13.5 for example):
11
Height (nearest 1/2 foot 12.5, 13.5 for example):
13
Front Overhang (nearest foot):
11
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:
Peterbuilt/Lowboy
Axle(s):
Axle Group
Axle Weight
Axle Width
Spacing
Wheels
1
18,000
8
3
2
2
15,000
8
14
2
2
17,500
8
4.5
4
2
17,500
8
4.5
4
3
16,500
9
37
4
3
16,500
9
4.5
4
3
16,500
9
4.5
4
3
16,500
9
5
4
Route
Load From:
Hayward TWP
Moving To:
Bath
Miles Traveled on County Roads:
25 Miles
Roads:
46/26/25/20/97
Axle Fee Calculations
Calculated Moving Fee:
Dollars
Total Axle Weight:
Pounds
Number of Axles:
Axles
Total Over Design Axle Weight Value:
Invoice #10193 (03/13/2020)
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.
