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Permit No.

APPLICATION FOR A SERVICE VEHICLE PERMIT Company Name: ___________________________________________________________ Telephone Nos: Office ________________________Cell: ___________________________ Licence Number of Vehicles to Display Permits: (1) (2) (3)

(4) (5) (6)

Location: _________________________________________________________________ Brief Description of work: ______________________________________________________ _____________________________________________________________________________ Start Date: ___________________________________________________________________ Expiry Date: __________________________________________________________________ Signed: Print Name: Date of Application:

FOR CITY USE ONLY Permit Issued:_________________________________________________________________ Date Permit # Valid From: To: Paid: Amount

Receipt #

Issued by: _________________________________________________________________


http://hamilton.arvinsingla.com/sites/default/files/forms/service-vehicle-application-form-2011