Field Name · Applicant
Italic names are derived; accent values differ from the applicant’s prior license.
| Applicant Type | I - Individual |
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| Entity Type | L - Licensee or Assignee |
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| Entity Name | Bergum, Gordon B |
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| Attention | |
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| First Name / Middle Init / Last Name / Name Suffix | Gordon B Bergum |
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| Street Address | 15712 34th Pl W |
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| Po Box | |
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| Locality | Lynnwood |
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| County | Snohomish County |
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| State | WA - Washington |
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| Postal Code | 98037 |
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| Zip Location | 47°50'21.2"N 122°17'07.6"W |
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| Maidenhead | CN87uu |
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| FRN | 0002729507 |
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| Geo Region | 7 / WA |
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| Licensee ID/SGIN | L00259693 / 000 |
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| Callsign | W7ADM |
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| Last Action Date | 2000-06-16 |
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| Radio Service | HA - Amateur |
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| App Purpose | MD - Modification |
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| App Source | B - Batch |
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| App Status | G - Granted |
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| Entered Timestamp | 2000-06-15 |
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| Fee Control Num | |
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| Orig Purpose | MD - Modification |
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| Receipt Date | Thu 2000-06-15 |
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| Payment Date | |
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| Is From Vec | N · Y |
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| Is Trustee | |
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| Operator Group | C - 1x3 |
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| Licensee Class | E - Amateur Extra |
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| New Seq Callsign | N |
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| Trustee Callsign | |
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| Trustee Name | |
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| ULS Group / ULS Region | C / 7 |
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| Prev Callsign / Prev Class | |
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| Vanity Relationship | |
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| Vanity Type | |
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| Fee Exempt / Waiver | N / N |
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