Verbal Authorization - WV Department of Transportation



Form BF-98C

(Rev. 5-2-96)

WEST VIRGINIA DIVISION OF HIGHWAYS

VERBAL AUTHORIZATION

| |VERBAL AUTHORIZATION ISSUED BY: |      |     | |

| | | | |Organization Name |Organization Number | |

| |CONTROLLING ORGANIZATION |      |ACCOUNT NO. |      | |

| |CONSTRUCTION/MAINTENANCE |      |AUTH. NO. |      | |

| |PHASE CODE |      |FUNCTIONAL SYSTEM |      | RURAL/URBAN |      | |

| |STATE PROJECT NO. |      | WORK PERFORMED BY: |      | |

| |ROADWAY/BRIDGE |      | FEDERAL PROJECT NO. |      | |

| |WORK LOCATION - DISTRICT |      |COUNTY |      |   | |

| | | | | | | |NAM|

| | | | | | | |E |

| | | |

| |DESCRIPTION:       | |

| |ESTIMATED START DATE |      |EST. COMPLETION DATE |      | |

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| |      | |

|Copy to | | |

| |      | |

|Copy to | | |

| Copy |      | |

|to | | |

| | | |

|APPROVED BY | |DATE | | |

| | | | | |

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