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228 WEST MAIN STREET, ROOM 19, GOLDENDALE WASHINGTON 98620 • FAX [PHONE REDACTED] • VOICE [PHONE REDACTED] 1 of 1 K L I C K I T A T C O U N T Y P U B L I C W O R K S D E P A R T M E N T Permit Number: PWOS2016- For Use On KLICKITAT COUNTY ROADS OVERWIDTH OVERWEIGHT Permission is herewith granted to: to transport: Over the following county roads: For use on or between the following dates: Special conditions: (Follow DOT requirements) • Should date change, please notify Klickitat County Public Works, [PHONE REDACTED] • Any damage to county road will be the responsibility of the permit holder. Permit holder agrees to comply with the state vehicle laws governing use of special permits. Permit Holder Contact: Email: Telephone: Fax: _ Applicant Signiture : Date: