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Spokane County is governed by a partisan Board of County Commissioners, one from each of three districts.
They run in a partisan primary election within their own district, then compete countywide in the general election.
Other elected officials include the Sheriff, Auditor ( who is also responsible for elections ), Assessor, Treasurer, and Prosecutor, which are also partisan offices.
Spokane County has an appointed Medical Examiner.
Here is a link to election results since 2000.

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