Form TR-0017 "Transportation Permit Rider" - California

What Is Form TR-0017?

This is a legal form that was released by the California Department of Transportation - a government authority operating within California. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on May 1, 2000;
  • The latest edition provided by the California Department of Transportation;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form TR-0017 by clicking the link below or browse more documents and templates provided by the California Department of Transportation.

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Download Form TR-0017 "Transportation Permit Rider" - California

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STATE OF CALIFORNIA • DEPARTMENT OF TRANSPORTATION
ADA Notice
For individuals with sensory disabilities, this document is available in alternate
TRANSPORTATION PERMIT RIDER
formats. For information, call (916) 445-1233, TTY 711, or write to Records
and Forms Management, 1120 N Street, MS-89, Sacramento, CA 95814.
TR-0017 (NEW 5/2000)
STATE USE ONLY
TO BE ATTACHED TO AND MADE A PART OF TRANSPORTATION PERMIT NUMBER:
EFFECTIVE:
EXPIRES SUNSET:
PERMITTEE:
PERMIT NUMBER
ADDRESS:
PAGE
OF
PHONE #:
FAX #:
DATE:
AUTHORIZED AGENT:
AUTHORIZED STATE AGENT
STATE USE ONLY
9
10
11
12
13
14
15
AXLE NUMBER
NUMBER OF TIRES PER AXLE
DISTANCE BETWEEN AXLES
WIDTH OF AXLES AT TIRE SIDEWALL
MAXIMUM ALLOWABLE WEIGHT
CASH
CK/CC #:
CHARGE
DB #:
EXEMPT
NO CHARGE
FEE: $
THIS RIDER DOES NOT NULLIFY NOR MAKE VOID ANY CITATION ISSUED TO THE ORIGINAL PERMIT. EXCEPT AS AMMENDED ABOVE ALL OTHER
ITEMS AND PROVISIONS OF THE ORIGINAL PERMIT SHALL REMAIN IN EFFECT. THIS RIDER MUST BE ATTACHED TO THE ORIGINAL PERMIT.
STATE OF CALIFORNIA • DEPARTMENT OF TRANSPORTATION
ADA Notice
For individuals with sensory disabilities, this document is available in alternate
TRANSPORTATION PERMIT RIDER
formats. For information, call (916) 445-1233, TTY 711, or write to Records
and Forms Management, 1120 N Street, MS-89, Sacramento, CA 95814.
TR-0017 (NEW 5/2000)
STATE USE ONLY
TO BE ATTACHED TO AND MADE A PART OF TRANSPORTATION PERMIT NUMBER:
EFFECTIVE:
EXPIRES SUNSET:
PERMITTEE:
PERMIT NUMBER
ADDRESS:
PAGE
OF
PHONE #:
FAX #:
DATE:
AUTHORIZED AGENT:
AUTHORIZED STATE AGENT
STATE USE ONLY
9
10
11
12
13
14
15
AXLE NUMBER
NUMBER OF TIRES PER AXLE
DISTANCE BETWEEN AXLES
WIDTH OF AXLES AT TIRE SIDEWALL
MAXIMUM ALLOWABLE WEIGHT
CASH
CK/CC #:
CHARGE
DB #:
EXEMPT
NO CHARGE
FEE: $
THIS RIDER DOES NOT NULLIFY NOR MAKE VOID ANY CITATION ISSUED TO THE ORIGINAL PERMIT. EXCEPT AS AMMENDED ABOVE ALL OTHER
ITEMS AND PROVISIONS OF THE ORIGINAL PERMIT SHALL REMAIN IN EFFECT. THIS RIDER MUST BE ATTACHED TO THE ORIGINAL PERMIT.