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Licensee/Permittee Information | ||||||
1. | Legal Name of the Licensee/Permittee BATES TECHNICAL COLLEGE |
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Mailing Address 1101 SOUTH YAKIMA |
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City TACOMA |
State or Country (if foreign address) WA |
ZIP Code 98405 - |
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Telephone Number (include area code) 2536807702 |
E-Mail Address (if available) DEMOND@BATES.CTC.EDU |
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Station / Facility Information | ||||||
2. | FCC Registration Number 0004056388 |
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Call Sign KBTC-TV |
Facility ID Number 62469 |
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Community of License: City TACOMA |
State WA |
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3. | Currently Assigned Channels: | |||||
a. DTV Channel: 27 Not Applicable | ||||||
b. NTSC Channel: 28 Not Applicable | ||||||
Contact Information (if different from licensee/permittee) | ||||||
4. | Contact Representative MARGARET TOBEY |
Firm or Company Name MORRISON & FOERSTER LLP |
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Mailing Address 2000 PENNSYLVANIA AVENUE N.W. SUITE 5500 |
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City WASHINGTON |
State or Country (if foreign address) DC |
ZIP Code 20006 - |
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Telephone Number (include area code) 2028876935 |
E-Mail Address (if available) MTOBEY@MOFO.COM |
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Purpose of Form: | ||||||
5. |
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1. | Channel Election: (SELECT ONE) |
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International Coordination. | ||||
2 | Is the licensee/permittee electing a channel that is subject to a pending international coordination issue?
If yes, licensee/permittee must attach an explanation as an Exhibit to this form. |
Yes No [Exhibit 1] |
Section III
I certify that the statements in this form are true, complete, and correct to the best of my knowledge and belief, and are made in good faith. I acknowledge that all certifications and attached Exhibits are considered material representations. I hereby waive any claim to the use of any particular frequency as against the regulatory power of the United States because of the previous use of the same, whether by license or otherwise, and request an authorization in accordance with this election form. (See Section 304 of the Communications Act of 1934, as amended.)
Typed or Printed Name of Person Signing DARIN GERCHAK |
Typed or Printed Title of Person Signing DIRECTOR OF ENGINEERING |
Signature |
Date 01/13/2005 |
WILLFUL FALSE STATEMENTS ON THIS FORM ARE PUNISHABLE BY FINE AND/OR IMPRISONMENT (U.S. CODE, TITLE 18, SECTION 1001), AND/OR REVOCATION OF ANY STATION LICENSE OR CONSTRUCTION PERMIT (U.S. CODE, TITLE 47, SECTION 312(a)(1)), AND/OR FORFEITURE (U.S. CODE, TITLE 47, SECTION 503).