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Engineering Services Department Land Development Engineering P.O. Box 642 Please submit application through the e-TRAKiT portal: Modesto, California 95354 [PHONE REDACTED] Modestogov.com In compliance with your request and subject to all the terms, conditions and restrictions written below Transportation Permit No. and in accompaniment, permissions are hereby granted to: Name: ☐Single Trip $15 Please make check payable to: City of Modesto ☐Annual Trip $85 Address: ☐Paid City / State / Zip: Check Number Phone: Email: Permit Valid Between: From: Contact Person: To: ☐Haul Load or Equipment & Model No: Moving Authorized On: ☐Saturday ☐ Sunday ☐Drive ☐Sunset/Sunrise** ☐Tow Type of Vehicle: King Pin to Last Axel: Combined Vehicle Length: LOADED DIMENSIONS DIFFERENT THAN, OR WEIGHTS EXCEEDING THOSE SHOWN BELOW ARE NOT AUTHORIZED Max Height Max Width Max Length Max Overhang Axel No 1 2 3 4 5 6 7 8 9 Tires per Axel Axel Spacing Axel Width Max Weight Origin Destination No. of Trips Pilot Car: ☐ Yes ☐ No 2 Pilot cars required when load width exceeds painted lane width and/or length of 100 ft. Lead on 2-lane / Trail on 4-lane and 1 car in front / 1 car in rear. **No travel permitted at darkness when pilot car is required. Authorized Route: ***Annual Permits Route Priority: 1. Truck Route, 2. Major Street, 3. Industrial, 4. Collector As a condition of this permit, the permittee shall: ☒Notify City Police communications 24 hours before moving - (209)552-2470. ☒Agree that requirements are subject to change based on the field conditions. ☒Avoid the commute hours of 7:30-8:30AM, 12:00-1:00PM and 4:00-5:30PM. ☒Obtain a Stanislaus County permit for County routes and a Caltrans permit for State routes. ☐Prior to a house move, obtain a City of Modesto Building Permit from Building Inspection – (209)577-5232. ☐Exceeds 17 feet high – call the following at least 2 weeks prior to move: AT&T Engineering Department - (209)549-5808 Comcast – (209)-955-6550 Modesto Irrigation District – Design Engineering Department – (209)526-7438 or (209)526-7540 ☐Call City of Modesto at least 5 days prior to moving when: Exceeds 14 feet high – Forestry Division of any conflicts – (209)342-2249 Exceeds 16 feet high and/or 75 feet long – Traffic Division – (209)577-5468 Exceeds 16 feet high – Electric Division ☐Restricted – No Green or Purple Loads 7th Street – 4 Ton Maximum Load I Street – Modesto Arch – 19 Feet High City of Modesto Approvals ☐ Forestry ☐ Traffic ☐ Electric I agree to the above terms, conditions and restrictions: Authorized Agents Signature: Date Approved by City of Modesto: Date