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Before Europeans arrived, the Okanogan County region was home to numerous indigenous peoples that would eventually become part of three Indian reservations referred to as the Northern Okanogans or Sinkaietk, Tokoratums, Kartars and Konkonelps. They spoke in seven types of Interior Salish languages related to the Puget Sound tribes. The Okanogans experienced a favorable climate, camping in the winter, hunting bears in the spring, catching fish in the summer and hunting deer in fall. The camps consisted of teepee-like longhouses built with hides and bark. Women gathered nuts and berries. A popular destination for this was the Kettle Falls, where the Columbia River dropped some 20 feet.
Due to its remoteness, the Okanogan County area was one of the last in Washington settled by Europeans. It was an early thoroughfare used by prospectors to gain access to other communities, such as British Columbia. By the 21st century, the region specialized in agriculture, forestry and tourism. Electric producer Grand Coulee Dam was constructed between 1933 and 1942, originally with two power plants, around the Okanogan and Grant counties at the former's southern border.
In July 2014, the Carlton Complex wildfire burned over 250,000 acres in Okanogan County. It destroyed over 300 homes[8] including 100 in and around Pateros