Peak Season Parking Pass Application

Lewis River Recreation

Peak Season Parking Pass Application (please print)

$20 Peak Season Parking Pass

Name:________________________________________________

Address:______________________________________________

City:________________________ State:_____ Zip:___________

Telephone:__________________ E-Mail:____________________

I have read the day use park rules and regulations and agree to comply with them.

Parking pass holders must check in with booth attendant if staffed. Passes must be displayed in car window at all times
The pass may be immediately seized & revoked by PacifiCorp representatives or designated authorities if privileges are abused.
The pass entitles user to bring 1 vehicle with trailer.
No commercial use of the parking pass is authorized.

Signature:_____________________________ Date:___________

Please send this section with your check or money order to:
Pacific Power / Recreation Pass
105 Merwin Village Ct
Ariel, Wa 98603

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