Duncan Building purchase part of broader Harborview Medical Center expansion funded by voter-approved bond

Historic preservation and modern healthcare needs intersect in Seattle’s Pioneer Square, where century-old structures continue to find new purposes in a rapidly evolving urban core. King County completed the purchase of the Duncan Building at 315 Second Ave. South, paying $6 million, or about $250 per square foot, for the 125-year-old structure that will be converted into a replacement medical clinic. The acquisition represents a small but necessary component of the county’s $1.74 billion Harborview bond program, which voters approved in 2020 to modernize and expand hospital facilities.

The 24,000 square foot mid-block building, recognizable by the life-size horse statue mounted abo

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