# Building permits at 1221 Madison St, Seattle, WA

40 permits on record here. The newest, Mar 17: Construct blanket permit tenant improvements to Swedish Cellular Therapy on the 10th & 11th floors of. Within a quarter mile, the city has issued 12 more permits since May 1.

## At this address

| Date | Type | Work | Cost | Permit |
|---|---|---|---|---|
| Mar 17, 2026 | Alteration or repair | Construct blanket permit tenant improvements to Swedish Cellular Therapy on the 10th & 11th floors of existing commercial building per plan. | $3,328,000 | [7122274-BK](https://nearbypermits.com/seattle/permit/7122274-BK/) |
| Jul 2, 2024 | Alteration or repair | Construct interior nonstructural alterations at Vault #1 and #2 of Arnold Pavilion of existing medical facility (Providence Swedish Medical Center) subject to field inspection (STFI) | $131,000 | [7033135-CN](https://nearbypermits.com/seattle/permit/7033135-CN/) |
| May 7, 2024 | Alteration or repair | Construct alterations to level 1 of existing Institution (Arnold Pavilion at Swedish Medical Center) including new Cyberknife suite within existing Vault #1 per plan. | $1,421,332 | [7010880-CN](https://nearbypermits.com/seattle/permit/7010880-CN/) |
| Oct 21, 2022 | Alteration or repair | Construct interior alterations to existing medical building (Arnold Pavilion on the Swedish Medical Center First Hill Campus) per plan. | $200,000 | [6912965-CN](https://nearbypermits.com/seattle/permit/6912965-CN/) |
| Feb 25, 2022 | Alteration or repair | Renovations to storage space on level 2 of existing commercial building subject to field inspection (STFI) | $35,000 | [6880853-CN](https://nearbypermits.com/seattle/permit/6880853-CN/) |
| Jul 19, 2021 | Alteration or repair | Construct tenant improvements to eye clinic on 14th Floor of existing institutional structure (Swedish Hospital) subject to field inspection (STFI) | $108,000 | [6847108-CN](https://nearbypermits.com/seattle/permit/6847108-CN/) |
| Mar 1, 2021 | Alteration or repair | Construct alterations for new equipment in a treatment room in an institutional building (Swedish Hospital) per plan. Mechanical is included. | $700,000 | [6815007-CN](https://nearbypermits.com/seattle/permit/6815007-CN/) |
| Apr 5, 2017 | Alteration or repair | Construct hazardous storage enclosure at level 2 in existing commercial building and occupy per plan. | $8,500 | [6569963-CN](https://nearbypermits.com/seattle/permit/6569963-CN/) |
| Mar 24, 2017 | Alteration or repair | Construct tenant improvements to Arnold-level A of existing medical space subject to field inspection (STFI). | $40,000 | [6584945-CN](https://nearbypermits.com/seattle/permit/6584945-CN/) |
| Oct 6, 2016 | Alteration or repair | Blanket Permit for interior non-structural alterations. Tenant improvements to Head & Neck Clinic 15th floor per plan. | Not listed | [6543223-BK](https://nearbypermits.com/seattle/permit/6543223-BK/) |
| Jul 25, 2016 | Alteration or repair | Construct interior tenant improvements (ramp & wall) to Swedish (Arnold - level A - NW) subject to field inspection (STFI) | $40,000 | [6547776-CN](https://nearbypermits.com/seattle/permit/6547776-CN/) |
| Nov 10, 2015 | Alteration or repair | Blanket Permit for interior non-structural alterations on 1st floor for Swedish Cancer Institute. | Not listed | [6499324-BK](https://nearbypermits.com/seattle/permit/6499324-BK/) |
| Jul 20, 2015 | Alteration or repair | Blanket Permit for interior non-structural alterations. | Not listed | [6476098-BK](https://nearbypermits.com/seattle/permit/6476098-BK/) |
| Jun 3, 2015 | Alteration or repair | Blanket Permit for interior non-structural alterations to the 1st floor to replacement of existing linear accelerator and casework. For Swedish Medical per plans. | Not listed | [6473053-BK](https://nearbypermits.com/seattle/permit/6473053-BK/) |
| Jun 2, 2015 | Alteration or repair | Blanket Permit for interior non-structural alterations on floor 9 10 14 and 15 | Not listed | [6471229-BK](https://nearbypermits.com/seattle/permit/6471229-BK/) |
| Jun 1, 2015 | Alteration or repair | Blanket Permit for interior non-structural alterations for Swedish Hematology Oncologgy on the 10th floor. | Not listed | [6475441-BK](https://nearbypermits.com/seattle/permit/6475441-BK/) |
| Mar 6, 2015 | Alteration or repair | Alterations to 12th floor of existing hospital per plans | $76,500 | [6459473-CN](https://nearbypermits.com/seattle/permit/6459473-CN/) |
| Jun 12, 2014 | Alteration or repair | Blanket Permit for interior non-structural alterations to the common areas on floors 9 & 11. REF#6066058 | Not listed | [6418032-BK](https://nearbypermits.com/seattle/permit/6418032-BK/) |
| Dec 6, 2013 | Alteration or repair | Construct interior alterations on the 1st floor at existing hospital (Swedish) per floor plan subject to field inspection (STFI). | $248,500 | [6395248-CN](https://nearbypermits.com/seattle/permit/6395248-CN/) |
| Oct 31, 2013 | Alteration or repair | Interior alterations to existing Hospital (Swedish Cancer Institute) on the ground floor suite #101 per plan subject to field inspection. | $35,000 | [6390229-CN](https://nearbypermits.com/seattle/permit/6390229-CN/) |
| Jun 22, 2012 | Alteration or repair | Construct tenant improvements to existing commercial building (Arnold Pavilion) for suite 1220 / per plan. | $75,000 | [6320389-CN](https://nearbypermits.com/seattle/permit/6320389-CN/) |
| Feb 15, 2012 | Fence, wall or deck | Blanket Permit; Construction of T.I.for the Swedish Cancer Institute floors 5 & 6 Arnold Medical Pavilion. | Not listed | [6304309-BK](https://nearbypermits.com/seattle/permit/6304309-BK/) |
| Oct 1, 2010 | Alteration or repair | Tenant improvement/ book store to "Seattle Meds" at space also known as 1305 Madison St. per floor plan and STFI. | $20,000 | [6262654-CN](https://nearbypermits.com/seattle/permit/6262654-CN/) |
| Sep 2, 2010 | Alteration or repair | Interior alterations to reconfigure space on 12th floor of existing office per floor plan and subject to field inspection | $50,000 | [6259893-CN](https://nearbypermits.com/seattle/permit/6259893-CN/) |
| Jun 3, 2010 | Alteration or repair | Alterations to suite 101 as Restaurant (Jimmy Johns) and occupy per plan | $125,000 | [6244832-CN](https://nearbypermits.com/seattle/permit/6244832-CN/) |
| Aug 6, 2009 | Alteration or repair | Construct interior alterations to Suite 1420 on 14th floor of Arnold Pavilion on Sweding Medical Campus. | $200,000 | [6223669-CN](https://nearbypermits.com/seattle/permit/6223669-CN/) |
| Jul 30, 2009 | Alteration or repair | Interior non-structural tenant improvement to suite 1520 Seattle Plastic Surgeons per floor plan Subject to field inspections. Stfi. | $70,000 | [6222945-CN](https://nearbypermits.com/seattle/permit/6222945-CN/) |
| Mar 25, 2009 | Alteration or repair | Blanket Permit for interior non-structural alterations tenant improvement for floor 16. (The Polyclinic) | Not listed | [6208464-BK](https://nearbypermits.com/seattle/permit/6208464-BK/) |
| Feb 19, 2009 | Alteration or repair | Non-structural lobby tenant improvements to existing medical office (Nordstrom Medical) tower / STFI | $50,000 | [6208673-CN](https://nearbypermits.com/seattle/permit/6208673-CN/) |
| Dec 31, 2008 | Alteration or repair | Blanket Permit for interior non-structural alterations for floor 14. | Not listed | [6202078-BK](https://nearbypermits.com/seattle/permit/6202078-BK/) |
| Jul 18, 2008 | Alteration or repair | Extending existing sheetrock duct enclosure to cover mechanical ductwork modification on the 3rd floor Pharmacy Swedish Medical Center per plan. Sbuject to field inspections. Stfi | $500 | [6188261-CN](https://nearbypermits.com/seattle/permit/6188261-CN/) |
| Apr 11, 2008 | Alteration or repair | Interior alterations to medical office space in the northwest corner of the 10th floor of existing structure per floor plan subject to field inspection (STFI). | $250,000 | [6177263-CN](https://nearbypermits.com/seattle/permit/6177263-CN/) |
| Feb 13, 2007 | Alteration or repair | Commercial tenant improvement to suite 920 for "Seattle Medical Associates" on 9th floor of Arnold Medical Pavilion subject to field inspection (stfi). | $17,000 | [6064277-CN](https://nearbypermits.com/seattle/permit/6064277-CN/) |
| Nov 6, 2006 | Alteration or repair | Minor tenant improvements including T-bar ceiling to basement office (Dosimetry) of existing medical services office building Subject To Field Inspection (STFI). | $2,500 | [6118229-CN](https://nearbypermits.com/seattle/permit/6118229-CN/) |
| Oct 31, 2006 | Alteration or repair | Construct women's restroom 5th floor east of existing restrooms in existing Nordstrom Medical Tower subject to field inspection (STFI) | $70,000 | [6118268-CN](https://nearbypermits.com/seattle/permit/6118268-CN/) |
| Sep 1, 2006 | Alteration or repair | Blanket Permit: Interior non-structural alterations 12th floor. Tenant: | Not listed | [6108686-BK](https://nearbypermits.com/seattle/permit/6108686-BK/) |
| Feb 22, 2006 | Alteration or repair | Blanket Permit for interior non-structural alterations to the 10th floor Vitreoretinal Associates. | Not listed | [6083606-BK](https://nearbypermits.com/seattle/permit/6083606-BK/) |
| Jan 4, 2006 | Alteration or repair | Closed as Incomplete - Expired Permit Non-structural tenant improvements 5th floor laboratories and conference rooms of existing Swedish Medical Center bldg (Bldg #21 Nordstrom Tower) per plan. | $918,000 | [6082477-CN](https://nearbypermits.com/seattle/permit/6082477-CN/) |
| Dec 12, 2005 | Alteration or repair | Non-structural tenant improvements 5th floor admin office of existing Swedish Medical Center bldg (Bldg #21 Nordstrom Tower) per plan. | $165,000 | [6081655-CN](https://nearbypermits.com/seattle/permit/6081655-CN/) |
| Oct 13, 2005 | Alteration or repair | Blanket Permit for interior non-structural alterations to the 12th floor - Innate Health | Not listed | [6073237-BK](https://nearbypermits.com/seattle/permit/6073237-BK/) |

## Within ¼ mi since May 1, 2026

12 permits in the circle. From our copy of the city's data (last 24 months).

### Next door (under 250 ft), 1 permits

| Date | Address | Distance | Type | Work | Cost | Permit |
|---|---|---|---|---|---|---|
| Aug 13, 2026 | [1301 Madison St](https://nearbypermits.com/seattle/address/1301-madison-st/) | 200 ft NE | Alteration or repair | Change of use to medical services per land use code. Construct alterations including removal of mezzanine and stairs for physical therapy office on first floor and occupy per plan. | $150,000 | [7131165-CN](https://nearbypermits.com/seattle/permit/7131165-CN/) |

### This block (250 to 1,000 ft), 6 permits

| Date | Address | Distance | Type | Work | Cost | Permit |
|---|---|---|---|---|---|---|
| Oct 12, 2026 | [1001 Madison St](https://nearbypermits.com/seattle/address/1001-madison-st/) | 730 ft SW | Alteration or repair | Tenant improvement to bank in portions of a existing mixed-use building at ground level per plan. Mechanical included this permit | $338,295 | [7137088-CN](https://nearbypermits.com/seattle/permit/7137088-CN/) |
| Sep 18, 2026 | [747 Broadway](https://nearbypermits.com/seattle/address/747-broadway/) | 430 ft SE | Alteration or repair | Construct alterations Level A & 1 in the South Building on the First Hill Campus to convert office space to med-gas manifold room. Mechanical included this permit. | $700,000 | [7136719-CN](https://nearbypermits.com/seattle/permit/7136719-CN/) |
| Jun 4, 2026 | [802 Terry Ave](https://nearbypermits.com/seattle/address/802-terry-ave/) | 870 ft SW | Alteration or repair | Construct interior alterations for concession area at 1st floor of existing institution (O'Dea High School) and occupy per plan. | $200,000 | [7129340-CN](https://nearbypermits.com/seattle/permit/7129340-CN/) |
| Jun 3, 2026 | [700 Broadway](https://nearbypermits.com/seattle/address/700-broadway/) | 870 ft SE | Alteration or repair | Construct soft demolition L-1 & -3 demising walls and interior alterations for (2) separate tenant spaces on L-3 of a commercial medical building per plans. (Additional building permits required for occupancy of these spaces.) | $184,000 | [7135171-CN](https://nearbypermits.com/seattle/permit/7135171-CN/) |
| Jun 3, 2026 | [747 Broadway](https://nearbypermits.com/seattle/address/747-broadway/) | 430 ft SE | Alteration or repair | Construct alterations in the existing East Tower level 14 electrical room ET-1488 to provide (2) separate spaces subject to field inspection (STFI) | $25,000 | [7119148-CN](https://nearbypermits.com/seattle/permit/7119148-CN/) |
| May 6, 2026 | [1200 Boylston Ave](https://nearbypermits.com/seattle/address/1200-boylston-ave/) | 980 ft N | Fence, wall or deck | Scope of work includes replacement of ground level perimeter guardrails topping slab repairs and new pedestrian traffic coating at the ground level terrace and replacement of topping slab and hot rubberized waterproofing membrane at the ground level parking area. Additionally there will be some targ | $700,000 | [7101619-CN](https://nearbypermits.com/seattle/permit/7101619-CN/) |

### Farther (1,000 ft to ¼ mi), 5 permits

| Date | Address | Distance | Type | Work | Cost | Permit |
|---|---|---|---|---|---|---|
| Oct 1, 2026 | [615 Boren Ave](https://nearbypermits.com/seattle/address/615-boren-ave/) | 0.21 mi S | Alteration or repair | Construct interior alterations to bathroom in unit 37 subject to field inspection STFI. | $29,469 | [7165270-CN](https://nearbypermits.com/seattle/permit/7165270-CN/) |
| Aug 14, 2026 | [604 E Union St](https://nearbypermits.com/seattle/address/604-e-union-st/) | 0.24 mi N | Fence, wall or deck | We are performing a single-ply membrane overlay onto the existing BUR on wood deck. The membrane will be in-seam fastened over a geotextile fabric separation layer per manufacturer warranty requirements | $189,286 | [7158177-RR](https://nearbypermits.com/seattle/permit/7158177-RR/) |
| Jul 1, 2026 | [1300 University St](https://nearbypermits.com/seattle/address/1300-university-st/) | 0.22 mi NW | Alteration or repair | Construct repairs in kind to existing multi-family building subject to field inspection (STFI). | $20,000 | [7148750-CN](https://nearbypermits.com/seattle/permit/7148750-CN/) |
| Jun 4, 2026 | [600 Broadway](https://nearbypermits.com/seattle/address/600-broadway/) | 0.19 mi SE | Roofing | PVC Reroof:Tear off existing roof system and install new PVC roofing system insulation flashings edge metal and related roofing components. Replace deteriorated sheathing as required.No structural modifications framing changes or deck alterations are included in this scope. No changes to the buildin | $513,515 | [7146401-RR](https://nearbypermits.com/seattle/permit/7146401-RR/) |
| Jun 2, 2026 | [1020 Seneca St](https://nearbypermits.com/seattle/address/1020-seneca-st/) | 0.19 mi W | Alteration or repair | Construct voluntary seismic retrofit (alternate method) to existing multifamily building (John Winthrop Apartments) per plan. | $824,397 | [7126099-CN](https://nearbypermits.com/seattle/permit/7126099-CN/) |

## Zoning requests nearby

There are no zoning requests on file within ¼ mi. Seattle's feed was last read Oct 14.

## More on this street

Other addresses on Madison St with permits, nearest house number first:

- [1229 Madison St](https://nearbypermits.com/seattle/address/1229-madison-st/): newest permit Nov 7, 2024
- [1301 Madison St](https://nearbypermits.com/seattle/address/1301-madison-st/): newest permit Aug 13, 2026
- [1101 Madison St](https://nearbypermits.com/seattle/address/1101-madison-st/): newest permit Jun 26, 2025
- [1001 Madison St](https://nearbypermits.com/seattle/address/1001-madison-st/): newest permit Oct 12, 2026
- [805 Madison St](https://nearbypermits.com/seattle/address/805-madison-st/): newest permit Jun 12, 2025
- [505 Madison St](https://nearbypermits.com/seattle/address/505-madison-st/): newest permit Aug 10, 2026
- [68 Madison St](https://nearbypermits.com/seattle/address/68-madison-st/): newest permit May 16, 2026

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Source: Seattle Department of Construction and Inspections permit data (https://cos-data.seattle.gov/d/76t5-zqzr), City of Seattle. Checked 2026-10-14 19:47 UTC. Nearby Permits, https://nearbypermits.com. JSON API and MCP server: https://nearbypermits.com/developers/

Zoning requests come from the Seattle land use permits (https://cos-data.seattle.gov/d/ht3q-kdvx), City of Seattle. We read it Oct 14, 16:48 UTC.

Map, all 40 permits at this address and 12 nearby: https://nearbypermits.com/seattle/address/1221-madison-st/