West Virginia University Institute of
Technology
2004-05 Parking Permit
PLEASE PRINT CLEARLY
PDF Application also available - click here to download
Name
Social Security
Number
Home Address
Home Phone
On Campus Address
On Campus Phone
Type of permit Faculty/Staff – A Resident – B Commuter – C
Handicap Reserved – D
Vehicle Information
Vehicle # 1 Vehicle # 2
Name on Registration Card Name on Registration Card
Year Year
Make Make
Model Model
License plate # License plate #
Color Color
State State
VALID VEHICLE REGISTRATION CARD(S) MUST BE PRESENTED TO OBTAIN A PERMIT.