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The King County Facilities Management Division is working on a plan to preserve Harborview Hall through an "adaptive reuse" project. A review is currently underway to determine the feasibility of renovating the landmark building which stands in the heart of Seattle's hospital district. The project developer, Sabey Corporation, will present a proposal to the County Executive and County Council for consideration.

Harborview Hall was built in 1931. Designed by Harlan Thomas, dean at the University of Washington School of Architecture from 1926-1940, the building's Art Deco exterior mirrors that of the hospital across the street. Thomas designed several other iconic Seattle buildings, including the Sorrento Hotel.

Early in its life, Harborview Hall was home to students in the UW School of Nursing. Later, the building held medical offices. But as the need for space has grown, Harborview Medical Center planned to demolish the structure to expand the hospital. However, King County believes there are significant benefits to preserving Harborview Hall and that it can be put back into service to provide space in an area of Seattle that is expected to experience significant growth.

The current proposal would preserve the original west-facing exterior façade and seismically strengthen the entire building with a new construction "buttress" addition on the east. Portions of the existing Harborview Hall would be demolished to make way for the new addition. Once complete, the building would contain 166,000 square feet on eleven floors. King County envisions a mixed use development, offering spaces for office and medical related services.

The project would also include an open space plaza on the east side of the new Harborview Hall connecting to the historic firehouse.

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