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 | | |
| |
| | | |
|Copy to | | |
| | | |
|Copy to | | |
| Copy | | |
|to | | |
| | | |
|APPROVED BY | |DATE | | |
| | | | | |
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