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Continuation of Special Needs City Construction Projects Name: Address: Daytime Phone Number: Evening Phone Number: Name or Type of Service: Days Service is performed: Time: Will this service be performed during the entire length of the project (3 months)? Yes No If no, when will the service start and end: Is there any other information we should know about regarding this service that will help us to maintain its quality of delivery? Please attach additional documentation, if needed Please return this form to the person listed below, or if you have any questions, please contact: Administrative Assistant City of Salem Engineering Department 98 Washington Street, 2nd Floor Salem, MA 01970 Phone [PHONE REDACTED] Dominick Pangallo Mayor DEBORAH L. DUHAMEL, P.E. CITY ENGINEER CITY OF SALEM SALEM, MASSACHUSETTS ENGINEERING DEPARTMENT 98 WASHINGTON STREET, 2ND FLOOR SALEM, MA 01970 Phone: (978) 619-5673 Este es un aviso importante por favor asegúrese que sea traducido