SCHEDULE A PERMIT NO.

CITY OF PORT COQUITLAM
OVERLOADED/OVERWE | GHT
VEHICLE PERMIT

neni Sonal paieg Nee ert te er eet

t. This Permit is issued pursuant to Section 602 (b) of "Traffic
Regulation Bylaw No. 1117, 1971" to permit. the operation of the overtoaded or
oversized vehiclee described in this Permit im the manner specified in this
Permit. uo

Registered owner of vehicle: __

Address of registered owner:

Telephone:

Vehicle Licence No.:

Description of Vehicle:

This’ permit: covers:
| bversize: Length Height

[bverwei ght:

Max. axie weight: Tandem Total Weight

Permitted dates and hours of operation:

Permitted route over non-arterial highways in the City:
Starting address:

Destination address:

2. Prior to issuance of this Permit a non-refundable permit fee of $50.00 has
been paid by or on behalf of the registered owner of the vehicle,

. THIS PERMIT ISSUED THE day of 19

Distribution: Copy |! - Applicant
Copy 2 - R.C.M.P, CITY ENGINEER

Copy 3 - City

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