Signature ofApplicant
If you cannot certify to all of the above statements, you are not eligible for a Temporary Permit. Willful fals statements made 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/o forfeiture (U.S. Code 47, Section 503).
Location of Existing Licensed Facility
3
TECHNICAL | Location of Control Station(s) or point(s) |
|
|
| |
|
|
|
|
| |
INFORMATION Number of Mobile Units | Licensee Presently Operating on the Shared Facility | ||||
|
| Name | Call Sign | ||
|
|
|
|
|
|
|
|
|
|
|
|
λComplete the blocks as indicated.
4Use this temporary call sign until a call sign is assigned by the Federal Communications Commission.
TEMPORARY W T CALL SIGN
Your temporary call sign will consist of the letters ÒWTÓ plus your business residence telephone number.
5
LIMITATIONS
λYour authority under this Permit is subject to all applicable treaties, statutes and rules a is subject to the right of use or control by the Government of the United States.
λThis Permit is valid for 180 days from the date the Form 574 is mailed to the FCC.
λYou must have a Temporary Permit or a license from the FCC to operate your Gener Mobile Radio Service system transmitters.
λThis Temporary Permit must be kept with your station records until your license is receive
DO NOT SUBMIT THIS FORM TO THE FCC
FCC 574T
March 1998
