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FCC 230
SPC-WAV
FEDERAL COMMUNICATIONS COMMISSION
Waiver Application for International Signaling Point Codes
Save as Draft
Approved by OMB
3060-1028
Estimated Time Per Response: 1.5 hours
Edition Date: August 2024
Review to Submit
See Instructions Print Form
A.1 Waiver Parent File Number
A.2 Waiver Parent Callsign
1. Applicant Information
FRN
0026634261
(Clear field FRN)
Name
Attention
Cascade IT Solutions
Steve Sims
Doing Business As (DBA)
Title
Street Address
Phone
Co-Founder
1780 N Country Vista Blvd
5094741740
Street Address 2
Fax
City
Email
Liberty Lake
[email protected]
State
-- None --
WA
Applicant/Licensee Legal Entity Type
Zip Code/Postal Code
99019
Country
USA
2. Contact Information
Check here if same as Applicant
FRN
0026634261
Name
Attention
Cascade IT Solutions
Steve Sims
Doing Business As (DBA)
Title
Street Address
Phone
Co-Founder
1780 N Country Vista Blvd
5094741740
Street Address 2
Fax
City
Email
Liberty Lake
[email protected]
Contact State
WA
Relationship
-- None --
(Clear field Contact State)
Zip Code/Postal Code
99019
Country
USA
Application Information
3. Brief Application Description
Application Fees
4. Will a fee be paid?
Yes
No
4.a. If yes, select the appropriate fee code for the application.
DAF
(Clear field 4.a. If yes, select the appropriate fee code for the application.)
Fee Amount
$375
Attachment(s)
5. The Applicant has uploaded a statement supporting the waiver request and identifying the rule number(s) involved, along with other material information.
Attachments/Confidential Treatment of Attachments
https://fccuat.servicenowservices.com/ibfs?id=app&subsystem=SPC&type=WAV
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7/23/24, 5:52 PM
ICFS Form - ICFS Portal
6. Is the Applicant requesting confidential treatment of an attachment(s) under section 0.459 of the Commission's rules?
Yes
No
Attachment Uploaded
The Applicant must upload a supporting statement for the "confidential treatment request(s)" identifying the applicable rule(s) and providing other supporting materials or information. The Applicant must also upload both the Redacted Public version and the Non-Redacted
Confidential version of the attachment(s) in the Attachments section below.
Attachment No.
File Name
1
SPC.docx
Description of Attachment
Confidential
Form Attachment
Action
Attach File
General Certification Statements
7. In submitting this form,
• The Applicant certifies that it has submitted all statements and exhibits to support this waiver request.
• The Applicant certifies that neither it nor any other party to the application is subject to a denial of Federal benefits, including FCC benefits, pursuant to section 5301 of the Anti-Drug Abuse Act of 1988, 21 U.S.C. § 862, because of a conviction for possession or distribution of a
controlled substance. See 47 CFR § 1.2002(b) for the meaning of "party to the application" for these purposes. (This certification does not apply to applications filed in services exempted under § 1.2002(c) of the rules, or to Federal, State or local governmental entities or
subdivisions thereof. See 47 CFR § 1.2002(c).)
• The Applicant certifies that all of its statements made in this Application and in the attachments or documents incorporated by reference are material, are part of this Application, and are true, complete, correct, and made in good faith.
8. Party Authorized to Sign
First Name
MI
Last Name
Suffix
Title
Signature
Date
FAILURE TO SIGN THIS FORM MAY RESULT IN DISMISSAL
OF THE APPLICATION AND FORFEITURE OF ANY FEES PAID
WILLFUL FALSE 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)), AND/OR FORFEITURE (U.S. Code, Title 47, Section 503)
Save as Draft
Review to Submit
Required information
Applicant/Licensee Legal Entity Type
Relationship
3. Brief Application Description
5. The Applicant has uploaded a statement supporting the waiver request and identifying the rule number(s) involved, along with other material information.
https://fccuat.servicenowservices.com/ibfs?id=app&subsystem=SPC&type=WAV
7. In submitting this form,
First Name
Last Name
Title
Signature
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| File Type | application/pdf |
| File Title | ICFS Form - ICFS Portal |
| File Modified | 2024-07-24 |
| File Created | 2024-07-23 |