Electric Vehicle Charging Station Permit Application
Applicant Information
Full Name
Organization
Email
Phone
Site Location
Street Address
City
State/Province
ZIP/Postal Code
Station Details
Number of Charging Stations
Type of Charger
Level 1 (120V)
Level 2 (240V)
DC Fast Charger
Number of Parking Spaces
Access Type
Public
Private
Additional Information
Comments or Notes